Individual
MRS. KAILEY KIEFF GULOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19374 N 3RD ST, COVINGTON, LA 70433-8813
(504) 444-3647
(985) 302-3584
Mailing address
19374 N 3RD ST, COVINGTON, LA 70433-8813
(504) 444-3647
(985) 302-3584
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R-15342
LA
106S00000X
Behavior Technician
RBT-24-324646
LA
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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