Individual
KELSI ELIZABETH WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
304 S ADAMS ST, MC GREGOR, TX 76657-2300
(254) 644-1449
Mailing address
304 S ADAMS ST, MC GREGOR, TX 76657-2300
(254) 644-1449
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57101
TX
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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