Individual
KELSIA L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LBA, BCBA
Contact information
Practice address
5110 MARYLAND WAY, BRENTWOOD, TN 37027-7508
(615) 370-9337
Mailing address
3452 DAISY TRL, ANTIOCH, TN 37013-2502
(931) 626-0205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34134
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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