Katelon Fry

NPI #1063261014 in Eagle, Idaho

Provider Information

NPI Number: 1063261014
Entity Type: Individual
Name: Katelon Fry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 14, 2024
Last Updated: May 14, 2024

Practice Location

Address: 738 S BRIDGEWAY PL STE 150
City: Eagle
State: Idaho
ZIP Code: 83616-6953
Phone: (888) 392-8642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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