Individual
KASSIDY KILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 W INDUSTRIAL DR STE C, ROGERS, AR 72756-2497
(855) 324-0885
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-226632
AR
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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