Individual
JENNIFER KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13765 VINTAGE DR SW, PORT ORCHARD, WA 98367-7391
(253) 970-2414
(360) 207-3986
Mailing address
13765 VINTAGE DR SW, PORT ORCHARD, WA 98367-7391
(253) 970-2414
(360) 207-3986
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
LABA.AB.61554647
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/08/2020
Last updated
07/18/2024
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