Individual
KAITLIN NIKKOL FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642-4112
(208) 518-0870
Mailing address
5112 NORTHRUP WAY, CALDWELL, ID 83607-8775
(208) 936-8290
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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