Individual
KELSEY DICAPRIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
690 VILLAGE TRCE NE BLDG 21, MARIETTA, GA 30067-1513
(770) 609-8777
Mailing address
180 JACKSON ST NE APT 7408, ATLANTA, GA 30312-7907
(518) 796-9549
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70532
GA
106S00000X
Behavior Technician
RBT-20-118222
SC
Other
Enumeration date
05/10/2021
Last updated
02/01/2024
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