Individual
KAITLIN O'HARA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
955 INTERSTATE RIDGE DR, GAINESVILLE, GA 30501-7013
(866) 523-4268
Mailing address
955 INTERSTATE RIDGE DR, GAINESVILLE, GA 30501-7013
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39190
GA
103K00000X
Behavior Analyst
1-19-39190
NC
106E00000X
Assistant Behavior Analyst
0-19-10150
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/11/2018
Last updated
01/25/2024
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