Individual
KELSEY SHAY HLADIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 HUKILIKE ST, KAHULUI, HI 96732-2999
(808) 868-5662
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
S112170027
MO
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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