Kinnetta Gaines
Behavior Technician in Spring, TX. Individual provider (NPI-1).
NPI number1114656238
StatusActive
Last updated in NPPESJun 6, 2022
Details
- NPI
- 1114656238
- Entity type
- Individual (NPI-1)
- Name
- Kinnetta Gaines
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2022
- Certification date
- Jun 6, 2022
- Last updated
- Jun 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4540 Spring Stuebner RdSpring, TX 77389-5295
Phone 832-764-7926
Mailing address
4540 Spring Stuebner RdSpring, TX 77389-5295
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