Kaitlyn Nicole Faircloth
Behavior Technician in Stuart, FL. Individual provider (NPI-1).
NPI number1548094972
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1548094972
- Entity type
- Individual (NPI-1)
- Name
- Kaitlyn Nicole Faircloth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2024
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7108 S Kanner HwyStuart, FL 34997-7462
Phone 855-832-6727
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
Is something wrong?
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