Individual
KELLY MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2191 AUCTION BARN RD, BELTON, TX 76513-8033
(254) 423-9196
Mailing address
1020 TRIMMIER RD, KILLEEN, TX 76541-8029
(254) 554-1466
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/22/2020
Last updated
02/14/2022
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