Individual
KATHRYN ELIZABETH RAULERSON-KELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA, LABA
Contact information
Practice address
12727 MCMANUS BLVD STE G, NEWPORT NEWS, VA 23602-4459
(757) 869-4162
(757) 846-6959
Mailing address
12727 MCMANUS BLVD STE G, NEWPORT NEWS, VA 23602-4459
(757) 877-2300
(757) 846-6959
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000030
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134000030
VIRGINIA BOARD OF MEDICINE
VA
Enumeration date
08/02/2013
Last updated
04/21/2021
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