Individual
KELSEY RAY ANDRACCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1227 RIPPLING COVE LOOP SW, SUPPLY, NC 28462-5769
(910) 520-4721
Mailing address
1227 RIPPLING COVE LOOP SW, SUPPLY, NC 28462-5769
(910) 520-4721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80994
NC
106S00000X
Behavior Technician
RBT-21-176351
FL
Other
Enumeration date
01/18/2022
Last updated
02/05/2026
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