Individual
KAITLYN SCURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2417
(314) 608-8724
Mailing address
809 TRUDY LN, O FALLON, MO 63366-1874
(314) 608-8724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021036615
MO
Other
Enumeration date
09/24/2021
Last updated
10/01/2021
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