Healthcare Provider Details

I. General information

NPI: 1881523579
Provider Name (Legal Business Name): KAITLIN ANN CHRISTIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 HAVEN WAY
PERRY GA
31069-5907
US

IV. Provider business mailing address

409 HAVEN WAY
PERRY GA
31069-5907
US

V. Phone/Fax

Practice location:
  • Phone: 478-293-8445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: