Individual
KAITLYN JO ANN SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102
(801) 935-4171
Mailing address
8251 HUDSON DR, SAN DIEGO, CA 92119-1810
(619) 647-3097
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31250
CA
Other
Enumeration date
07/05/2018
Last updated
08/29/2018
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