Individual
KAITLIN BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 E MAIN ST STE 210B, RICHMOND, VA 23219-3546
(571) 419-2892
Mailing address
10200 FOREST GREEN BLVD STE 112, LOUISVILLE, KY 40223-5167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001109
VA
103K00000X
Behavior Analyst
262122
KY
103K00000X
Behavior Analyst
LBA453
MD
Other
Enumeration date
07/09/2018
Last updated
08/01/2023
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