Individual
KELLY RYPKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
359 CASTLE DR, MYRTLE BEACH, SC 29579-6000
(989) 619-3662
Mailing address
359 CASTLE DR, MYRTLE BEACH, SC 29579-6000
(989) 619-3662
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14829
SC
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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