Organization
BALANCE BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARIEL E KELLAM M.ED., BCBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(714) 366-9444
Entity
Organization
Contact information
Practice address
9013 HORSE HERD DR, FORT WORTH, TX 76123-3072
(714) 366-9444
Mailing address
18472 MANNING DR, TUSTIN, CA 92780-2236
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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