Individual
KACY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 S MULFORD RD, ROCKFORD, IL 61108-6725
(708) 828-3454
Mailing address
3415 BATAAN MEMORIAL W, LAS CRUCES, NM 88012-5012
(505) 392-3482
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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