Individual
MRS. KELLY ROBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9917 W ANTIETAM ST, BOISE, ID 83709-3405
(850) 797-8280
Mailing address
80 COLLEGE BLVD E, NICEVILLE, FL 32578-1343
(850) 279-3000
(850) 389-2269
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27016
—
106E00000X
Assistant Behavior Analyst
0177958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-27016
BACB
—
Enumeration date
06/26/2017
Last updated
03/06/2023
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