Individual
KAYLEEN PATRICIA STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2421 NE DOCTORS DR, BEND, OR 97701-7111
(541) 224-6987
Mailing address
2065 SW 35TH ST, REDMOND, OR 97756-7319
(509) 429-3874
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43879
OR
103K00000X
Behavior Analyst
10209953
OR
Other
Enumeration date
11/27/2018
Last updated
01/21/2025
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