Individual
KELSEY WELZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 SHERWOOD DR STE 201, LAKE BLUFF, IL 60044-2235
(877) 486-4140
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42157
IL
106S00000X
Behavior Technician
—
IN
Other
Enumeration date
02/18/2019
Last updated
06/09/2020
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