Individual
KELSEY BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
770 PARK CENTRE DR, KERNERSVILLE, NC 27284-3598
(704) 780-4271
(888) 261-6694
Mailing address
2505 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-4105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
NC
Other
Enumeration date
02/19/2020
Last updated
02/28/2024
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