Individual
KELSI RENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBS
Contact information
Practice address
175 E BROWN ST STE 202, EAST STROUDSBURG, PA 18301-3098
(570) 234-3989
(570) 209-5781
Mailing address
175 E BROWN ST STE 202, EAST STROUDSBURG, PA 18301-3098
(570) 234-3989
(570) 209-5781
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12044762
PA
174400000X
Specialist
BH005124
PA
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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