Individual
KAITLYN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 N MAIN ST STE D, HINESVILLE, GA 31313-2512
(912) 312-7409
Mailing address
1329 PINE RIDGE DR, SAVANNAH, GA 31406-8239
(706) 955-3537
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68999
GA
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/21/2021
Last updated
04/12/2024
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