Kaelyn Phommavong Linares
Behavior Technician in Alpharetta, GA. Individual provider (NPI-1).
NPI number1669080255
StatusActive
Last updated in NPPESJun 7, 2023
Details
- NPI
- 1669080255
- Entity type
- Individual (NPI-1)
- Name
- Kaelyn Phommavong Linares
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2020
- Certification date
- Jun 7, 2023
- Last updated
- Jun 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-128507 | GA | Yes |
| 106S00000X | Behavior Technician | RBT-20-128507 | TX |
Practice location
6505 Shiloh Rd Ste 100Alpharetta, GA 30005-1645
Phone 678-648-7644
Mailing address
6505 Shiloh Rd Ste 100Alpharetta, GA 30005-1645
Phone 678-648-7644 · Fax 678-648-7479
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All 353 Behavior Technician providers in Alpharetta · All 4,303 providers in Alpharetta
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