Individual
KELLY WORKMAN
Active
Individual
KELLY WORKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, PSYD
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-10-7776
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
023180
NY
103TB0200X
Cognitive & Behavioral Psychologist
3814
CT
Other
Enumeration date
02/20/2012
Last updated
08/05/2019
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