Individual
KELSIE MCQUEEN-GERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 AUBURN WAY N, AUBURN, WA 98002-4109
(253) 237-3405
(253) 426-3096
Mailing address
1314 AUBURN WAY N, AUBURN, WA 98002-4109
(253) 237-3405
(253) 426-3096
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-52724
CA
103K00000X
Behavior Analyst
Primary
1-21-52724
WA
106E00000X
Assistant Behavior Analyst
0167537
CA
Other
Enumeration date
11/09/2017
Last updated
01/25/2026
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