Individual
MRS. KAYTLIN OTTOFAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3535 N LOMBARD ST, PORTLAND, OR 97217-5901
(800) 273-4292
(888) 293-3374
Mailing address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(714) 596-6274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60757
OR
Other
Enumeration date
03/04/2022
Last updated
11/08/2025
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