Individual
MS. KAITLIN MARY CORYAT FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
85 DUNKIRK RD, BALTIMORE, MD 21212-1707
(607) 437-2815
Mailing address
85 DUNKIRK RD, BALTIMORE, MD 21212-1707
(607) 437-2815
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7532
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-10-7532
BEHAVIOR ANALYST CERTIFICATION BOARD
MD
Enumeration date
12/06/2010
Last updated
10/26/2020
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