Individual
KELSEY J DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBS
Contact information
Practice address
1405 N CEDAR CREST BLVD, ALLENTOWN, PA 18104-2308
(856) 346-0005
Mailing address
1156 BUTZTOWN RD, BETHLEHEM, PA 18017-3222
(484) 226-5746
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56158
—
103K00000X
Behavior Analyst
BH005707
PA
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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