KAILA ROSE VANLIESHOUT

VALDOSTA, GA
NPI1407522238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-21-179603)
Enumeration Date2021-08-20
Last Update Date2021-08-20
Business Address
KAILA ROSE VANLIESHOUT
3121 N OAK STREET EXT
VALDOSTA, GA 31602-1099
Phone number: 800-832-9419
Mailing Address
KAILA ROSE VANLIESHOUT
3121 N OAK STREET EXT
VALDOSTA, GA 31602-1099
Phone number: 800-832-9419