Individual
KELSEY MIKKONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 REGENT ST STE 711, LIVINGSTON, NJ 07039-1628
(551) 237-4646
(201) 603-1810
Mailing address
7 REGENT ST STE 711, LIVINGSTON, NJ 07039-1628
(551) 237-4646
(201) 603-1810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12042913
—
Other
Enumeration date
08/16/2020
Last updated
07/09/2025
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