Individual
KELLY ROSE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
510 MCCORMICK DR STE U-W, GLEN BURNIE, MD 21061-3283
(410) 595-5817
Mailing address
510 MCCORMICK DR STE U-W, GLEN BURNIE, MD 21061-3283
(410) 595-5817
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA409
MD
Other
Enumeration date
09/15/2018
Last updated
09/15/2018
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