| NPI | 1023511383 |
|---|---|
| Former Name | KELLI KETNER RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 12043059) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2022-08-22 |