Individual
KELLI THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
130 MONTREAT CT, DOTHAN, AL 36303-6320
(334) 701-2475
Mailing address
130 MONTREAT CT, DOTHAN, AL 36303-6320
(334) 701-2475
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019-025
AL
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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