Most Relevant Information
Provider Data
| NPI Number: | 1003421058 |
| Provider Name: | KAITLYN PARKER BCBA, LBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/15/2020 |
| Last Updated: | 03/05/2021 |
Provider Practice Location
4819 IHLES RD
LAKE CHARLES
LA
706055900
Practice Location Phone/Fax
| Phone: | 3376026247 |
| Fax: |
Provider Mailing Location
4819 IHLES RD
LAKE CHARLES
LA
706055900
Provider Mailing Phone/Fax
| Phone: | 3376026247 |
| Fax: |