MEDICARE: KAITLYN CONLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1265384044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN CONLEY

Provider Business Mailing Address
First Line	:	200 GRIFFIN RD STE 1
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7145
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 GRIFFIN RD STE 1
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7145
Country	:	US
Telephone Number	:	800-778-5560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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1679529424 — DR. KEVIN HODGES M.D.
Practice Location Address:

200 GRIFFIN RD , SUITE 15
PORTSMOUTH, NH
03801-7145

Practice Phone: 603-431-7393
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1275576829 — DR. DANIEL H DE TOLLA D.D.S., M.D.
Practice Location Address:

200 GRIFFIN RD , SUITE 8
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1255445516 — DR. WALTER ARNOLD HOERMAN MD
Practice Location Address:

200 GRIFFIN RD STE 12A
PORTSMOUTH, NH
03801-7145

Practice Phone: 603-692-4018
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1366544819 — DR. M. DAVID LAUTER M.D.
Practice Location Address:

200 GRIFFIN RD , SUITE 11
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03801-7145

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1639261860 — DR. STEVEN ELLIOTT KAHAN M.D.
Practice Location Address:

200 GRIFFIN RD , UNIT 14
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03801-7145

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1265657357 — LISA B. SCHULMAN, D.D.S.
Practice Location Address:

200 GRIFFIN RD , SUITE 9
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03801-7145

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Directions to “ KAITLYN CONLEY ” Practice Location

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