Individual
KAYLIN PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 HAVENHILL RD, ARTESIA, NM 88210-9118
(575) 616-1776
Mailing address
62 HAVENHILL RD, ARTESIA, NM 88210-9118
(575) 616-1776
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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