Individual
KAITLYN KUDRNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 N WASHINGTON ST, BISMARCK, ND 58501-3623
(701) 355-3000
Mailing address
806 N WASHINGTON ST, BISMARCK, ND 58501-3623
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L54
ND
106S00000X
Behavior Technician
RBT-18-47348
ND
Other
Enumeration date
01/25/2018
Last updated
08/10/2022
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