Individual
KELSEY NICOLE COFFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
2513 W 2ND ST, MARION, IN 46952-3241
(765) 662-0490
(765) 454-9759
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 454-9759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25898
IN
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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