Individual
KEL-SEI DINKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4170 N 108TH AVE, PHOENIX, AZ 85037-5469
(480) 751-1957
(832) 383-8823
Mailing address
4170 N 108TH AVE, PHOENIX, AZ 85037-5469
(480) 751-1957
(832) 383-8823
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-131736
AZ
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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