Kayla Brooke Fanum
NPI #1003403494 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1003403494
- Entity Type
- Individual
- Name
- Kayla Brooke Fanum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Dec 31, 2020
- Last Updated
- Dec 31, 2020
Practice Location
- Address
- 690 CLEVELAND AVE S STE 100
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55116-1319
- Phone
- (651) 493-8412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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