Individual
KYLA JO ODERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 61ST STREET, ST 301, 3RD FL, BROOKLYN, NY 11204-33, 1649 61ST STREET, ST 301, 3RD FL, BROOKLYN, NY 11204-3319
(406) 366-3336
Mailing address
2142 E C ST, TORRINGTON, WY 82240-2405
(406) 366-3336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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