Provider Demographics
NPI:1588247274
Name:ENGLISH, KAITLYN (RBT)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21757 FORT CHRISTMAS RD
Mailing Address - Street 2:
Mailing Address - City:CHRISTMAS
Mailing Address - State:FL
Mailing Address - Zip Code:32709-9460
Mailing Address - Country:US
Mailing Address - Phone:407-274-1728
Mailing Address - Fax:
Practice Address - Street 1:1650 DAVIS DR
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-5933
Practice Address - Country:US
Practice Address - Phone:407-920-5346
Practice Address - Fax:407-960-3009
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician