Individual
KAITLYN SHAE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1106 W PINE ST, HEBER SPRINGS, AR 72543-2429
(501) 365-6547
Mailing address
1106 W PINE ST, HEBER SPRINGS, AR 72543-2429
(501) 365-6547
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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