Individual
KELSEY SHANIYA BONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4075 PARK AVE, MEMPHIS, TN 38111-7400
(901) 584-8281
Mailing address
3901 AQUA CV, MEMPHIS, TN 38127-4869
(901) 236-5590
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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