Individual
CHLOE M KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6902 PINE ST, OMAHA, NE 68106-2855
(402) 559-6341
Mailing address
931 W JAMES LEE BLVD LOT 6A, CRESTVIEW, FL 32536-5197
(757) 506-6603
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-13411
—
106S00000X
Behavior Technician
RBT-19-81727
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
05/14/2019
Last updated
11/19/2024
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