Individual
KAYLEE ASHTON CHILDREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
181 W REYNOLDS ST, OZARK, AL 36360-1438
(334) 379-0729
Mailing address
103 SKYLARK DR, ENTERPRISE, AL 36330-1548
(334) 406-9191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-273246
AL
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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