Individual
KELLIE NICOLE SYFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
Mailing address
1406 W CHAPEL HILL ST APT B, DURHAM, NC 27701-3069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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