Kaytlin Shino Agate Valid NPI
Individual provider · Behavior Technician · Provo, UT
- NPI
- 1275148439
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- RBT-19-93318 (UT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-09-14
- Last updated
- 2020-09-14
Practice location
445 N 400 E Apt 105
Provo, UT 84606-3092
(206) 665-5587