Individual
MISS KELSI BREANNE DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 W JOHNSON DR, TERRE HAUTE, IN 47802-5508
(812) 233-8833
Mailing address
5475 CANNON CT APT F, TERRE HAUTE, IN 47803-4268
(765) 438-5937
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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