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Individual

SARAH KINLEY FITZKEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19800 VILLAGE OFFICE CT STE 104, BEND, OR 97702-1813
(541) 610-6278
Mailing address
1466 NE REVERE AVE, BEND, OR 97701-4161

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10187180
OR
106S00000X
Behavior Technician
OR

Other

Enumeration date
11/10/2017
Last updated
11/10/2017
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