Most Relevant Information
Provider Data
| NPI Number: | 1003324203 |
| Provider Name: | KAYTLIN MARIE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 17890081331 |
Most Important Dates
| Enumeration Date: | 01/22/2018 |
| Last Updated: | 01/22/2018 |
Provider Practice Location
2836 KIMBERLIE CT
ANCHORAGE
AK
995085329
Practice Location Phone/Fax
| Phone: | 9073494222 |
| Fax: |
Provider Mailing Location
2836 KIMBERLIE CT
ANCHORAGE
AK
995085329
Provider Mailing Phone/Fax
| Phone: | 9073494222 |
| Fax: |