Individual
KAITLIN BUCKELEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5860 BAKER RD, MINNETONKA, MN 55345-5903
(612) 488-9019
Mailing address
537 DELTONA BLVD, DELTONA, FL 32725-8017
(904) 878-8683
(386) 200-5752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0261
MN
Other
Enumeration date
06/02/2020
Last updated
02/24/2025
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