Individual
MRS. KAITLIN ELIZABETH CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
161 JD TOWLES DR, WILLOW PARK, TX 76087-8654
(682) 900-1444
Mailing address
5925 SACRO MONTE DR # 1116, DALLAS, TX 75248-4706
(845) 549-5660
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
01/14/2022
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