Individual
KELSEA ELIZABETH MAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MS, BCBA, RBT
Contact information
Practice address
1233 SHERMAN DR, LONGMONT, CO 80501-6133
(720) 449-6676
Mailing address
1233 SHERMAN DR, LONGMONT, CO 80501-6133
(720) 449-6676
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44611
CO
106S00000X
Behavior Technician
RBT-16-22140
CO
106S00000X
Behavior Technician
—
CO
Other
Enumeration date
03/15/2018
Last updated
10/25/2020
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