Provider Demographics
NPI:1023841103
Name:LAYTON, ISABELLA (BCBA)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:
Last Name:LAYTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 PARKWAY 575
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3897
Mailing Address - Country:US
Mailing Address - Phone:470-473-5920
Mailing Address - Fax:888-979-8504
Practice Address - Street 1:1274 JOE FRANK HARRIS PKWY SE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-4211
Practice Address - Country:US
Practice Address - Phone:470-473-5920
Practice Address - Fax:888-979-8504
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst