Individual
MR. KITTERSON CLYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1886 SILVER CREEK DR, LITHIA SPRINGS, GA 30122-2800
(678) 887-4732
Mailing address
1886 SILVER CREEK DR, LITHIA SPRINGS, GA 30122-2800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA2078
MA
Other
Enumeration date
06/07/2025
Last updated
06/07/2025
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