Provider Demographics
NPI:1215595384
Name:LAYNE, DORIS ELIZABETH (BCBA)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:ELIZABETH
Last Name:LAYNE
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 1:923 WHISPER HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-9516
Mailing Address - Country:US
Mailing Address - Phone:757-641-6455
Mailing Address - Fax:
Practice Address - Street 1:923 WHISPER HOLLOW DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-9516
Practice Address - Country:US
Practice Address - Phone:757-641-6455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician