Provider Demographics
NPI:1396312070
Name:ESTES, KAITLIN (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:ESTES
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:KAITLIN
Other - Middle Name:
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:420 HILLTOP EST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-7931
Mailing Address - Country:US
Mailing Address - Phone:606-371-2755
Mailing Address - Fax:
Practice Address - Street 1:420 HILLTOP EST
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-7931
Practice Address - Country:US
Practice Address - Phone:606-371-2755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY286344103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst