Individual
KAITLIN SANDRA SIMONIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PAIGE CT, GOOSE CREEK, SC 29445-7173
(914) 299-5806
Mailing address
108 PAIGE CT, GOOSE CREEK, SC 29445-7173
(914) 299-5806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-26-17099
SC
106S00000X
Behavior Technician
Primary
RBT-23-286206
—
Other
Enumeration date
10/02/2023
Last updated
04/29/2026
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