Individual
KELSEY JANE BUCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 S DOBSON RD BLDG 9, MESA, AZ 85202-6481
(602) 291-9375
Mailing address
2222 S DOBSON RD BLDG 9, MESA, AZ 85202-6481
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-15127
AZ
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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