Individual
MRS. KELSEY DENISE ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3213 SENECA ST, SAINT JOSEPH, MO 64507-2026
(816) 752-7501
Mailing address
3213 SENECA ST, SAINT JOSEPH, MO 64507-2026
(816) 752-7501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019032712
MO
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/17/2019
Last updated
10/05/2020
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