Individual
KAITLYN L MILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 7TH AVE SW, MAGEE, MS 39111-3700
(573) 855-7021
Mailing address
PO BOX 699, MAGEE, MS 39111-0699
(573) 855-7021
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
251011
MS
Other
Enumeration date
05/17/2022
Last updated
03/24/2025
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