Kaitlynn Quackenbos

NPI 1538815972 · on the registry since 2022

Practice

Address: 13700 58th St N Ste 207
Clearwater, FL 33760
Phone: (877) 823-4283
Fax: (352) 332-8589
Organisation at this address: Lakeside Clinic, Llc
Behavior Analysis Support Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 105

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Also registered as: 101YM0800X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida