Individual
KELSEY MACHULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1 S CHURCH AVE STE 1200, TUCSON, AZ 85701-1601
(888) 880-9270
Mailing address
3720 W SUNGLADE DR, TUCSON, AZ 85742-1136
(708) 528-1861
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-23572
IL
103K00000X
Behavior Analyst
Primary
BEH000390
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BEH000390
AZ BOARD OF PSYCHOLOGY EXAMINERS
AZ
Enumeration date
11/02/2016
Last updated
07/03/2019
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