Individual
KAYLEE RENE NORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1240 MAGNOLIA VILLAGE WAY, LELAND, NC 28451-9464
(910) 599-2230
Mailing address
1595 RAPTOR TER NE, BOLIVIA, NC 28422-6402
(910) 757-6386
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
07/16/2025
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