Individual
KELLY BIERAUGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7202 NE HIGHWAY 99 STE 106-360, VANCOUVER, WA 98665-8932
(360) 206-2131
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10226592
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/07/2018
Last updated
09/29/2022
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