Individual
KAITLIN L DEPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 S 9TH ST, LEBANON, PA 17042-5104
(717) 273-5992
(717) 775-3443
Mailing address
15 S 9TH ST, LEBANON, PA 17042-5104
(717) 273-5992
(717) 775-3443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48777
PA
Other
Enumeration date
04/08/2019
Last updated
03/20/2025
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