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Individual
KELLY SMALLCOMBE
Active
Individual
KELLY SMALLCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA: 1-14-15615
CA
Other
Enumeration date
03/28/2014
Last updated
05/23/2018
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