Kayla Brooke Fanum
Kayla Brooke Fanum is a Behavior Technician in Saint Paul, Minnesota. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
690 Cleveland Ave S Ste 100Saint Paul, MN 55116-1319
Phone: (651) 493-8412
Fax: (651) 927-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1003403494 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 31, 2020 |
| Last updated in NPPES | December 31, 2020 |
| Certification date | December 31, 2020 |
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