Individual
KAYLEE BRIENNA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3709 CITATION WAY STE 102, MEDFORD, OR 97504-9022
(541) 500-6532
Mailing address
3709 CITATION WAY STE 102, MEDFORD, OR 97504-9022
(541) 500-6532
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
Y4334260
CO
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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