Individual
KATHRYN KINTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3482 MCCLURE AVE, WEST LAFAYETTE, IN 47906-4164
(765) 838-3547
Mailing address
380 POLK ST, GREENWOOD, IN 46143-1623
(317) 888-1557
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24278
IN
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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