Individual
DARICCA MICHELE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 NW GARDEN VALLEY BLVD STE 104, ROSEBURG, OR 97471-2098
(541) 378-4104
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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