Kaytlin Shino Agate

NPI #1275148439 in Provo, Utah

Provider Information

NPI Number: 1275148439
Entity Type: Individual
Name: Kaytlin Shino Agate
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 14, 2020
Last Updated: Sep 14, 2020

Practice Location

Address: 445 N 400 E APT 105
City: Provo
State: Utah
ZIP Code: 84606-3092
Phone: (206) 665-5587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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