Individual
KAITLIN BRIANNE WALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 270-8504
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1315
TN
103K00000X
Behavior Analyst
Primary
5564
TX
103K00000X
Behavior Analyst
7401003278
MI
247200000X
Other Technician
—
—
Other
Enumeration date
09/17/2019
Last updated
03/23/2026
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