Individual
KAYLA WITTKUGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22001 FAIRMOUNT BLVD, CLEVELAND, OH 44118-4819
(216) 932-2800
Mailing address
22001 FAIRMOUNT BLVD, CLEVELAND, OH 44118-4819
(216) 932-2800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-207065
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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