Individual
KELSEY BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2148 E DESERT LN, PHOENIX, AZ 85042-6916
(623) 210-2803
Mailing address
2148 E DESERT LN, PHOENIX, AZ 85042-6916
(623) 210-2803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225800000X
Recreation Therapist
Primary
87308
AZ
Other
Enumeration date
11/14/2019
Last updated
02/25/2026
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