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Kaitlyn Bradham

Behavior Technician in Kalamazoo, MI. Individual provider (NPI-1).

NPI number1982431847
StatusActive
Last updated in NPPESSep 16, 2024

Details

NPI
1982431847
Entity type
Individual (NPI-1)
Name
Kaitlyn Bradham
Sex
Female
Sole proprietor
No
Enumeration date
Sep 16, 2024
Certification date
Sep 16, 2024
Last updated
Sep 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3744 Gull Rd
Kalamazoo, MI 49048-7642

Phone 574-387-4313

Mailing address

3744 Gull Rd
Kalamazoo, MI 49048-7642

Phone 574-387-4313

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