| NPI | 1679182463 |
|---|---|
| Former Name | KELSEY THELEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-23-67713) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-06-26 |