Individual
KELLY KASHIA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
445 MINNESOTA ST STE 1500, SAINT PAUL, MN 55101-2269
(612) 594-8405
Mailing address
2539 NOKOMIS AVE, SAINT PAUL, MN 55119-3219
(612) 552-8337
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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