Individual
KAITLYN MAE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S HUMAN SERVICES
Contact information
Practice address
15 MAYFIELD RD, AUBURN, MA 01501-1116
(508) 335-2365
Mailing address
15 MAYFIELD RD, AUBURN, MA 01501-1116
(508) 335-2365
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U5281178604
CIGNA
MA
Enumeration date
03/18/2019
Last updated
03/18/2019
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