Healthcare Provider Details

I. General information

NPI: 1588464457
Provider Name (Legal Business Name): LAYLA LYNNE TAYLOR BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 BRENTWOOD ST
HIGH POINT NC
27260-5714
US

IV. Provider business mailing address

3902 HUNT CHASE CT
GREENSBORO NC
27407-5479
US

V. Phone/Fax

Practice location:
  • Phone: 855-772-8847
  • Fax:
Mailing address:
  • Phone: 225-436-6671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLABA10001383
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: