KAYTLIN SHINO AGATE
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1275148439- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 445 N 400 E APT 105, PROVO, UT, 846063092
- Phone
- (206) 665-5587
Specialties & Taxonomies
Behavior Technician
Primary License: UT #RBT-19-93318