Most Relevant Information
Provider Data
| NPI Number: | 1003312745 |
| Provider Name: | KAELA SIBLE BEHAVIOR TECHNICIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 1003312745 |
Most Important Dates
| Enumeration Date: | 04/02/2018 |
| Last Updated: | 08/28/2024 |
Provider Practice Location
2549 JOLLY RD STE 380
OKEMOS
MI
488643680
Practice Location Phone/Fax
| Phone: | 5173006950 |
| Fax: |
Provider Mailing Location
1500 S DOUGLAS RD STE 230
CORAL GABLES
FL
331344108
Provider Mailing Phone/Fax
| Phone: | 8442441818 |
| Fax: |