Individual
KAITLYN MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1582 N WAGGONER RD STE A, BLACKLICK, OH 43004-8669
(614) 344-0419
Mailing address
390 UNION BLVD STE 300, LAKEWOOD, CO 80228-6514
(303) 989-8169
(303) 984-4366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11831816
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/27/2018
Last updated
02/11/2025
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