NPI 1114393899

Jaclyn Kalita

Practitioner Behavior Analyst South Bend, IN

Practice location

Address: 2505 E Jefferson Blvd, South Bend, IN 46615-2635
Phone: (574) 289-4831
Fax: (574) 234-2075
Mailing address: 51960 Gumwood Rd, Granger, IN 46530-6207

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-15-18130 (CT)

Other Behavior Analyst providers in Indiana →

Registry record

NPI: 1114393899
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2015
Record last updated: 17 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.