Individual
KAITLYN MICHELLE DYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14733 CLAYTON RD, BALLWIN, MO 63011-2660
(636) 248-7841
(314) 778-9286
Mailing address
3028 WILLOW BEND DR, SAINT CHARLES, MO 63303-6521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2022032539
MO
106S00000X
Behavior Technician
—
MO
Other
Enumeration date
11/27/2017
Last updated
07/12/2023
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