Most Relevant Information
Provider Data
| NPI Number: | 1003641432 |
| Provider Name: | KAITLIN LAMOINE FUCICH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2024 |
| Last Updated: | 09/05/2024 |
Provider Practice Location
7108 S KANNER HWY
STUART
FL
349977462
Practice Location Phone/Fax
| Phone: | 8558326727 |
| Fax: |
Provider Mailing Location
108 N SUMMIT ST
FAIRHOPE
AL
365322522
Provider Mailing Phone/Fax
| Phone: | 2515919004 |
| Fax: |