Organization
KALEIDOSCOPE CONNECTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN FOX BCBA, LBA (CEO AND CLINICAL DIRECTOR)
(949) 573-3165
Entity
Organization
Contact information
Practice address
11301 SE 10TH ST APT 104, VANCOUVER, WA 98664-6119
(949) 573-3165
Mailing address
11301 SE 10TH ST APT 104, VANCOUVER, WA 98664-6119
(949) 573-3165
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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