Individual
KELSEE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000598
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/09/2018
Last updated
10/15/2020
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