Kaeliegh Bennett

NPI #1023527850 in Stockton, California

Provider Information

NPI Number: 1023527850
Entity Type: Individual
Name: Kaeliegh Bennett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 25, 2017
Last Updated: Aug 17, 2021

Practice Location

Address: 1811 GRAND CANAL BLVD STE 2
City: Stockton
State: California
ZIP Code: 95207-8107
Phone: (877) 418-2978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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