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Kaitlen Autrey

Behavior Technician in Crestview, FL. Individual provider (NPI-1).

NPI number1356282982
StatusActive
Last updated in NPPESApr 6, 2026

Details

NPI
1356282982
Entity type
Individual (NPI-1)
Name
Kaitlen Autrey
Sole proprietor
No
Enumeration date
Apr 6, 2026
Certification date
Apr 6, 2026
Last updated
Apr 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4100 S Ferdon Blvd Ste B3
Crestview, FL 32536-5287

Phone 850-362-6824 · Fax 850-362-6826

Mailing address

Po Box 259
Shalimar, FL 32579-0259

Phone 850-362-6824 · Fax 850-362-6826

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