Brandi Kidd-Laseter

NPI #1558967240 in Wasilla, Alaska

Provider Information

NPI Number: 1558967240
Entity Type: Individual
Name: Brandi Kidd-Laseter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 8, 2020
Last Updated: Dec 8, 2020

Practice Location

Address: 301 E DANNA AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-6422
Phone: (907) 357-7519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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