Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-17-25749 |
NPI | 1003340233 |
---|---|
Provider Name | Kaylee Kristine Price |
First Address | Austin, TX 78745-6605 |
Second Address | Austin, TX 78745-6605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2017 |
Last Update Date | 14/04/2017 |