Individual
MRS. CELIA KELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, BCBA, LBA
Contact information
Practice address
30 FULTON DR, STAFFORD, VA 22554-7827
(703) 973-3479
Mailing address
30 FULTON DR, STAFFORD, VA 22554-7827
(703) 973-3479
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000603
VA
Other
Enumeration date
02/28/2018
Last updated
10/15/2020
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