Individual
SAMANTHA KITTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
283 DEBUYS RD, GULFPORT, MS 39507-2800
(228) 731-3500
(866) 625-0559
Mailing address
831 CEDAR LAKE RD APT 1411, BILOXI, MS 39532-4663
(636) 735-0506
(866) 625-0559
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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