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Individual
KRISTEN KELLY SPEARS
Active
Individual
KRISTEN KELLY SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7637
LA
235Z00000X
Speech-Language Pathologist
5820
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2350005
—
LA
Enumeration date
12/17/2009
Last updated
02/10/2014
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