Individual
KELLY ALBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3402 ELMORE AVE, DAVENPORT, IA 52807-2594
(515) 207-5251
Mailing address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 726-1416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50935
IL
Other
Enumeration date
07/13/2021
Last updated
10/30/2023
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