Kaitlyn Rutherford

Individual provider Active NPI Behavior Technician · Silver City, NM

NPI 1831723733 · NPPES record last updated Feb 28, 2020

Key facts

NPI
1831723733
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
704 N a St
Silver City, NM 88061-4568
Phone
(970) 901-5481
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

704 N a St
Silver City, NM 88061-4568

Mailing address

704 N a St
Silver City, NM 88061-4568
Phone (970) 901-5481

Other providers in Silver City, NM

All providers in Silver City, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.