Healthcare Provider Details

I. General information

NPI: 1477251213
Provider Name (Legal Business Name): CAYLA M EPSTEIN M.A., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 CROWNPOINT EXECUTIVE DR STE E
CHARLOTTE NC
28227-6725
US

IV. Provider business mailing address

2100 SOUTH BLVD APT 232
CHARLOTTE NC
28203-6365
US

V. Phone/Fax

Practice location:
  • Phone: 980-202-7456
  • Fax:
Mailing address:
  • Phone: 561-267-1383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number4061
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-83157
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: