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1811315773
KELLY SMALLCOMBE
SANTA ROSA, CA
NPI
1811315773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA BCBA: 1-14-15615)
Enumeration Date
2014-03-28
Last Update Date
2018-05-23
Business Address
KELLY SMALLCOMBE BCBA
1335 N DUTTON AVE
SANTA ROSA, CA 95401
Phone number: 855-223-7123
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Mailing Address
KELLY SMALLCOMBE BCBA
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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