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Individual

KELSIE LYNN KOENIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., BCBA, LBA

Contact information

Practice address
15851 DALLAS PKWY STE 1150, ADDISON, TX 75001-3325
(855) 782-7822
Mailing address
7110 FM 78 # 102104, SAN ANTONIO, TX 78244-1763
(210) 874-2219

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
9258
TX
106S00000X
Behavior Technician

Other

Enumeration date
05/10/2022
Last updated
03/30/2026
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