Kaylea Marie Koonrad
NPI #1487277810 in Cameron, North Carolina
Provider Information
- NPI Number
- 1487277810
- Entity Type
- Individual
- Name
- Kaylea Marie Koonrad
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 20, 2020
- Last Updated
- Jan 26, 2024
Practice Location
- Address
- 185 MITTIE HADDOCK DR
- City
- Cameron
- State
- North Carolina
- ZIP Code
- 28326-9379
- Phone
- (910) 500-7783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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