Healthcare Provider Details

I. General information

NPI: 1922925189
Provider Name (Legal Business Name): PETALS BEHAVIOR ANALYSIS SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1831 EASTCHESTER DR
HIGH POINT NC
27265-1402
US

IV. Provider business mailing address

3902 HUNT CHASE CT
GREENSBORO NC
27407-5479
US

V. Phone/Fax

Practice location:
  • Phone: 225-436-6671
  • Fax: 336-805-6094
Mailing address:
  • Phone: 225-436-6671
  • Fax: 336-805-6094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LAYLA LYNNE TAYLOR
Title or Position: OWNER
Credential: BCBA
Phone: 225-436-6671