Kayla May Thibault

NPI #1689280141 in Waltham, Massachusetts

Provider Information

NPI Number: 1689280141
Entity Type: Individual
Name: Kayla May Thibault
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 21, 2020
Last Updated: Sep 21, 2020

Practice Location

Address: 31 DERBY ST
City: Waltham
State: Massachusetts
ZIP Code: 02453-5003
Phone: (802) 745-7129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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