Individual
KELLI BLUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2102 5TH ST N STE 3, COLUMBUS, MS 39705-2222
(662) 889-6639
Mailing address
2102 5TH ST N STE 3, COLUMBUS, MS 39705-2222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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