Individual
KELSEA FERENTHEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 N 77TH ST, SCOTTSDALE, AZ 85257-3708
(480) 839-6000
Mailing address
1250 N 77TH ST, SCOTTSDALE, AZ 85257-3708
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71929
AZ
106S00000X
Behavior Technician
RBT-21-178350
AZ
Other
Enumeration date
02/01/2024
Last updated
05/15/2024
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