| NPI | 1609128081 |
|---|---|
| Former Name | KAITLYN REBECCA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2024-12-27 |