Individual
KELLY TRUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5221 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703-5190
(916) 752-3961
Mailing address
2423 CULPEPPER WAY, LINCOLN, CA 95648-7833
(916) 752-3961
(916) 543-6470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
02/24/2021
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