Most Relevant Information
Provider Data
| NPI Number: | 1003679747 |
| Provider Name: | KAYLA RAE'ANNA CARROTHERS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/05/2024 |
| Last Updated: | 02/05/2024 |
Provider Practice Location
13973 FARMINGTON RD
LIVONIA
MI
481545403
Practice Location Phone/Fax
| Phone: | 7348554490 |
| Fax: | 2487124381 |
Provider Mailing Location
13973 FARMINGTON RD
LIVONIA
MI
481545403
Provider Mailing Phone/Fax
| Phone: | 7348554490 |
| Fax: | 2487124381 |