Individual
MRS. HOLLY RAE KIBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
KEY AUTISM SERVICES CENTER, 1000 COBB PL BLVD NW SUITE 230, KENNESAW, GA 30144-3014
(678) 458-7659
Mailing address
3028 CANTON VIEW WALK, MARIETTA, GA 30068-5318
(678) 458-7659
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2778
GA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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