Individual
GRACE ANN KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
971 N GILBERT RD STE 101, GILBERT, AZ 85234-3472
(480) 559-8089
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001390
AZ
Other
Enumeration date
11/13/2020
Last updated
10/04/2024
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