Individual
KAYLA MARIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E. CAPITOL AVE, SUITE 200, BISMARCK, ND 58501
(701) 204-7870
Mailing address
1800 E CAPITOL AVE APT 254, BISMARCK, ND 58501-2111
(605) 430-8466
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-35572
ND
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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