Individual
KAITLYN GRACE SLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31476 SHEARWATER DR, SPANISH FORT, AL 36527-4304
(662) 322-2714
Mailing address
31476 SHEARWATER DR, SPANISH FORT, AL 36527-4304
(662) 322-2714
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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