Individual
KELSEY REDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5300 STINSON AVE, SUPERIOR, WI 54880-6313
(218) 216-7798
Mailing address
7 VERGENNES ST, SUPERIOR, WI 54880-4427
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1128140
WI
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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