Individual
KELLSE LYNN ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
164 OTROBANDO AVE, SUITE B, NORWICH, CT 06360
(888) 754-0398
Mailing address
164 OTROBANDO AVE, SUITE B, NORWICH, CT 06360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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