Individual
KAITLIN RENNE BILLEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 REGENCY CT, DOTHAN, AL 36305-1187
(334) 618-3302
Mailing address
305 REGENCY CT, DOTHAN, AL 36305-1187
(334) 618-3302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-290120
RBT-23-290120
AL
Enumeration date
08/18/2023
Last updated
08/18/2023
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