Individual
KELSEY KHARRAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6414 W NORTH AVE, CHICAGO, IL 60707
(312) 554-5578
(877) 372-2427
Mailing address
12040 98TH AVE NE, STE 204, KIRKLAND, WA 98034-4290
(425) 658-3016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32407
IL
Other
Enumeration date
12/18/2015
Last updated
10/03/2024
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