Individual
KELSEY MARIE WOODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 EXECUTIVE CENTER DR, AUGUSTA, GA 30907-2398
(706) 842-5330
(706) 842-5340
Mailing address
3736 EXECUTIVE CENTER DR, AUGUSTA, GA 30907-2360
(706) 842-5330
(706) 842-5340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57654
GA
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-18-64374
GA
Other
Enumeration date
11/04/2018
Last updated
01/25/2022
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