Individual
KELLEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
805 DESERT FLOWER BLVD, PUEBLO, CO 81001-1146
(719) 501-4416
Mailing address
2906 GINNALA DR, LOVELAND, CO 80538-2700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/20/2020
Last updated
12/12/2025
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