Individual
MRS. KELLIE M KOTWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
18521 E QUEEN CREEK RD., SUITE 105-627, QUEEN CREEK, AZ 85142
(480) 361-1025
(480) 814-7488
Mailing address
18521 E QUEEN CREEK RD, SUITE 105-627, QUEEN CREEK, AZ 85142
(480) 361-1025
(480) 814-7488
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20121
AZ
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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