Individual
KAITLYNN LULAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 LAKESHORE DR STE A101, ANCHORAGE, AK 99517-2815
(907) 302-9164
(907) 677-7017
Mailing address
3105 LAKESHORE DR STE A101, ANCHORAGE, AK 99517-2815
(907) 302-9164
(907) 677-7017
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-430596
AK
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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