Kayla Lynn Dietrich

NPI #1063109221 in Clinton Township, Michigan

Provider Information

NPI Number: 1063109221
Entity Type: Individual
Name: Kayla Lynn Dietrich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 19, 2023
Last Updated: Apr 19, 2023

Practice Location

Address: 16700 17 MILE RD STE A
City: Clinton Township
State: Michigan
ZIP Code: 48038-7325
Phone: (686) 228-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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