Individual
KAITLIN BUCCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
5570 W CHANDLER BLVD UNIT 3, CHANDLER, AZ 85226-3697
(480) 608-5210
(602) 926-0352
Mailing address
1601 S MOPAC EXPY STE C300, AUSTIN, TX 78746-7077
(512) 920-1030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001139
AZ
Other
Enumeration date
07/06/2018
Last updated
12/01/2023
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