MS. Kaitlyn J Proctor, RBT-19-82835

NPI #1265994420 in Frankfort, Illinois

Provider Information

NPI Number: 1265994420
Entity Type: Individual
Name: MS. Kaitlyn J Proctor, RBT-19-82835
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT-19-82835
Enumeration Date: Apr 4, 2019
Last Updated: Jul 23, 2019

Practice Location

Address: 21000 S FRANKFORT SQUARE RD STE D
City: Frankfort
State: Illinois
ZIP Code: 60423
Phone: (814) 469-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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