Individual
KAITLYN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4769 WHITESBURG DR SE STE 202, HUNTSVILLE, AL 35802-1684
(256) 666-0477
Mailing address
4769 WHITESBURG DR SE STE 202, HUNTSVILLE, AL 35802-1684
(256) 666-0477
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
545435
AL
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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