Kaitlynn Paige Holloway

NPI #1205478864 in Kennett, Missouri

Provider Information

NPI Number: 1205478864
Entity Type: Individual
Name: Kaitlynn Paige Holloway
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 15, 2019
Last Updated: Oct 15, 2019

Practice Location

Address: 1226 INDEPENDENCE AVE
City: Kennett
State: Missouri
ZIP Code: 63857-1316
Phone: (573) 559-2380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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