Individual
KELSEY RYCKMAN
Active
Individual
KELSEY RYCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-41003
NH
1041C0700X
Clinical Social Worker
Primary
3042
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-41003
BCBA LICENSE
NH
Enumeration date
03/04/2020
Last updated
03/07/2024
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