Individual
KAILI JADE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
425 ORILLA DEL LAGO, FORT COLLINS, CO 80524-8921
(970) 980-0663
Mailing address
425 ORILLA DEL LAGO, FORT COLLINS, CO 80524-8921
(970) 980-0663
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27238
CO
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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