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Individual
KAITLYN HOLMES
Active
Individual
KAITLYN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51990
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2181263
CALIFORNIA DMV
CA
Enumeration date
01/02/2019
Last updated
10/05/2021
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