Individual
KAITLYN ANN CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(484) 574-0985
Mailing address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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