Individual
KELSEY PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 SW ROSEWOOD ST., PORTLAND (LAKE OSWEGO), OR 97035
(503) 783-2707
(818) 449-0994
Mailing address
21600 OXNARD ST., SUITE 1800, WOODLAND HILLS, CA 91367
(818) 345-2345
(818) 449-0994
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10174020
OR
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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