Individual
KAITLYN CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 WILLIAM ST, FREDERICKSBURG, VA 22401-5236
(540) 922-1110
(775) 392-1245
Mailing address
2423 S ORANGE AVE # 353, ORLANDO, FL 32806-4543
(540) 922-1110
(775) 392-1245
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000070
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015784780002
—
VA
Enumeration date
03/26/2014
Last updated
05/15/2025
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