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Individual

KELSIE NICOLE WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LBA

Contact information

Practice address
2620 FORUM BLVD STE E, COLUMBIA, MO 65203-5454
(573) 514-8735
Mailing address
300 INTERNATIONAL PARKWAY SUITE 200, LAKE MARY, FL 32746-5028
(629) 216-2007

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2024045614
MO
103K00000X
Behavior Analyst
820
TN
106S00000X
Behavior Technician
RBT-19-76901
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q070622
TN
Enumeration date
02/05/2019
Last updated
03/05/2025
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