Fernandez, Kaitlin Mary Coryat

Fernandez, Kaitlin Mary Coryat is an individual health care provider with primary practice located at 85 Dunkirk Rd , Baltimore MD 21212-1707. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Fernandez, Kaitlin Mary Coryat can be contacted via phone (607) 437-2815.

Contact Information

Primary practice address
85 Dunkirk Rd Baltimore MD 21212-1707
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-10-7532 Maryland

Profile Details

NPI number 1154624658
LBN Legal business name Fernandez, Kaitlin Mary Coryat
Credentials M.A., BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2010
Last updated Oct 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154624658 NPPES
Maryland Other 1-10-7532 BEHAVIOR ANALYST CERTIFICATION BOARD

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