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Individual

KELLY BAIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
212 W PARK ST, LAKELAND, FL 33803-1226
(813) 720-4095
(863) 213-0711
Mailing address
212 W PARK ST, LAKELAND, FL 33803-1226
(813) 720-4095

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-90341
FL
106E00000X
Assistant Behavior Analyst
Primary
0-24-15514
FL

Other

Enumeration date
06/23/2021
Last updated
07/27/2026
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