Individual
KAITLIN HENDRICKX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS BCBA
Contact information
Practice address
729 HOPE ST, PROVIDENCE, RI 02906-3533
(401) 837-1406
Mailing address
729 HOPE ST, PROVIDENCE, RI 02906-3533
(401) 837-1406
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00140
RI
Other
Enumeration date
10/09/2018
Last updated
11/20/2025
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