Individual
MS. KIM GAETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 N MILITARY RD, SLIDELL, LA 70461-1657
(985) 445-6758
Mailing address
238 N MILITARY RD, SLIDELL, LA 70461-1657
(985) 445-6758
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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