Individual
QUINLAN KAUTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3120 OLD FAITHFUL RD STE 100, CHEYENNE, WY 82001-5890
(307) 221-2937
(307) 316-0303
Mailing address
3120 OLD FAITHFUL RD STE 100, CHEYENNE, WY 82001-5890
(307) 221-2937
(307) 316-0303
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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