Individual
KAITLIN ASHLEY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
11301 SE 10TH ST APT 104, VANCOUVER, WA 98664-6119
(949) 573-3165
Mailing address
15171 SE ASTON LOOP, PORTLAND, OR 97236-7876
(949) 573-3165
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37214
—
Other
Enumeration date
03/12/2019
Last updated
11/29/2023
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