Individual
KAYLYN LORINDA RENEE ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3315
(615) 560-6622
Mailing address
1005 NIGHTHAWK LN, MOUNT JULIET, TN 37122-7504
(615) 428-9038
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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