Individual
KAITLYN MICHAELA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32871 LA-16, DENHAM SPRINGS, LA 70706
(225) 349-7960
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
012097333
LA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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