Individual
KELSEY L AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 MADISON PLZ UNIT 108C, CHESAPEAKE, VA 23320-5201
(808) 208-2637
Mailing address
1100 MADISON PLZ UNIT 108C, CHESAPEAKE, VA 23320-5201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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