Most Relevant Information
Provider Data
| NPI Number: | 1003336926 |
| Provider Name: | KAELYNN BOYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2017 |
| Last Updated: | 06/21/2017 |
Provider Practice Location
203 EAST OAK STREET
AMITE
LA
70422
Practice Location Phone/Fax
| Phone: | 2252051824 |
| Fax: |
Provider Mailing Location
203 E OAK ST
AMITE
LA
704222817
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |