Individual
MS. KAITLYN J PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-19-82835
Contact information
Practice address
21000 S FRANKFORT SQUARE RD STE D, FRANKFORT, IL 60423
(814) 469-1500
Mailing address
21000 S FRANKFORT SQUARE RD STE D, FRANKFORT, IL 60423-9386
(814) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-82835
IL
Other
Enumeration date
04/04/2019
Last updated
07/23/2019
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