Individual
MRS. KELSEY ANN QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
1010-1012 MATTLIND WAY, MILFORD, DE 19963
(302) 503-3120
Mailing address
1010-1012 MATTLIND WAY, MILFORD, DE 19963
(302) 503-3120
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33446
DE
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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