Individual
KELSI GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W BROADWAY STE 333, SALT LAKE CITY, UT 84101-2027
(801) 841-2824
Mailing address
50 W BROADWAY STE 333, SALT LAKE CITY, UT 84101-2027
(801) 841-2824
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
10/21/2025
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