Individual
DR. KELLIE BAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DBH, BCBA, LBA
Contact information
Practice address
4822 E FERNWOOD CT, CAVE CREEK, AZ 85331-6392
(602) 558-1689
Mailing address
4822 E FERNWOOD CT, CAVE CREEK, AZ 85331-6392
(602) 558-1689
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-114
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164832358
NPI
—
Enumeration date
04/28/2014
Last updated
06/14/2022
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