Mickaylaa S Kimball
Assistant Behavior Analyst in Labelle, FL. Individual provider (NPI-1).
NPI number1154869907
StatusActive
Last updated in NPPESFeb 1, 2017
Details
- NPI
- 1154869907
- Entity type
- Individual (NPI-1)
- Name
- Mickaylaa S Kimball
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 1, 2017
- Last updated
- Feb 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | – | Yes |
Practice location
3033 E Briarwood CirLabelle, FL 33935-5347
Phone 863-517-5679
Mailing address
3033 E Briarwood CirLabelle, FL 33935-5347
Phone 863-517-5679
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