Individual
KELLI DEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
2205 WILLIAMS TRACE BLVD STE 101, SUGAR LAND, TX 77478-4443
(895) 329-7972
Mailing address
7210 READING RD APT 622, ROSENBERG, TX 77469-5292
(760) 271-2656
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25141
CA
Other
Enumeration date
04/01/2017
Last updated
03/25/2021
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