Individual
KELCIE TAYLOR LYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1250 LAMOILLE HWY STE 103, ELKO, NV 89801-4397
(177) 577-7129
Mailing address
732 HOLIDAY DR, SPRING CREEK, NV 89815-6242
(775) 340-8159
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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