Individual
CAITLYNN TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 S MAIN ST, KELLER, TX 76248-5120
(817) 691-3283
Mailing address
1901 S MAIN ST, KELLER, TX 76248-5120
(817) 691-3283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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