Individual
KELLY ELIZABETH MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5220 N DYSART RD BLDG C, LITCHFIELD PARK, AZ 85340-3045
(623) 244-9179
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-302743
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-302743
RBT CERTIFICATE
—
Enumeration date
06/06/2024
Last updated
06/06/2024
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