Individual
LAUREN R KITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
472 GOODWILL RD SE LOT 25, CLEVELAND, TN 37323-8363
(423) 504-2434
Mailing address
472 GOODWILL RD SE LOT 25, CLEVELAND, TN 37323-8363
(142) 350-4243
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-305505
TN
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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