Individual
KAITLYN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 E HOFFER ST, KOKOMO, IN 46902-2474
(765) 419-0411
Mailing address
1315 E HOFFER ST, KOKOMO, IN 46902-2474
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80637
IN
106S00000X
Behavior Technician
RBT-21-160167
IN
Other
Enumeration date
01/23/2025
Last updated
04/23/2025
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