Individual
KELLSIE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W BIG BEAVER RD STE 200, TROY, MI 48084-5283
(678) 894-1116
Mailing address
100 W BIG BEAVER RD STE 200, TROY, MI 48084-5283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68526
MI
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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