Individual
KAITLYN DAWN NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 S AIR DEPOT BLVD, OKLAHOMA CITY, OK 73110-5103
(405) 831-3130
Mailing address
1717 S AIR DEPOT BLVD, OKLAHOMA CITY, OK 73110-5103
(405) 831-3130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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