Individual
KELLY YANOUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 WEST RIDGE DRIVE, COLLEGE STATION, TX 77845
(512) 587-3736
Mailing address
609 W RIDGE DR, COLLEGE STATION, TX 77845-6576
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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