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Individual
KAITLYNNE CARSON
Active
Individual
KAITLYNNE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
APF-1652042584-24236
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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