Individual
KELSEY CORDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7318 W POST RD STE 208, LAS VEGAS, NV 89113-6646
(800) 249-1266
Mailing address
15927 SE LAKE HOLM RD, AUBURN, WA 98092-5928
(253) 228-5529
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB60926979
WA
Other
Enumeration date
01/14/2019
Last updated
06/15/2022
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