Individual
MS. KAYLA RICHELLE LEE VAN HOOSEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 E 32ND ST, SCOTTSBLUFF, NE 69361-1870
(308) 641-2692
(308) 641-2692
Mailing address
1649 61ST ST FL 3013, BROOKLYN, NY 11204-2110
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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