Kaitlin Emma Ellingsworth
Kaitlin Emma Ellingsworth is a Behavior Technician in Shakopee, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4201 Dean Lakes BlvdShakopee, MN 55379-2829
Phone: (612) 509-6680
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1417692088 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 28, 2022 |
| Last updated in NPPES | April 28, 2022 |
| Certification date | April 28, 2022 |
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Jennifer Gough
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Carrie Graham
4201 Dean Lakes Blvd Ste 160, Shakopee, MN 55379-2863 · (612) 509-6681