Individual
KELSEY LEBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 CORNWALL AVE, SUITE 100, BELLINGHAM, WA 98225-4648
(425) 273-0129
Mailing address
1616 CORNWALL AVE, SUITE 100, BELLINGHAM, WA 98225-4648
(425) 273-0129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60715119
—
WA
Enumeration date
12/02/2016
Last updated
12/02/2016
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