Kimberly Kay Fatland

NPI #1871290171 in Stillwater, Minnesota

Provider Information

NPI Number
1871290171
Entity Type
Individual
Name
Kimberly Kay Fatland
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Feb 8, 2023
Last Updated
Feb 8, 2023

Practice Location

Address
1701 CURVE CREST BLVD W STE 104
ZIP Code
55082-6181
Phone
(651) 342-1883

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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