Individual
KAILA XIMENA THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 BASSETT DR, MANKATO, MN 56001-6569
(507) 682-7100
Mailing address
1720 BASSETT DR, MANKATO, MN 56001-6569
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/02/2018
Last updated
09/02/2020
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