Kaylah Healy
Behavior Technician in Bloomington, IN. Individual provider (NPI-1).
NPI number1124698683
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1124698683
- Entity type
- Individual (NPI-1)
- Name
- Kaylah Healy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2021
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
451 S Park Ridge Rd Ste 102Bloomington, IN 47401-8589
Phone 317-334-7331 · Fax 317-334-7336
Mailing address
451 S Park Ridge Rd Ste 102Bloomington, IN 47401-8589
Phone 317-334-7331 · Fax 317-334-7336
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