Kelsea N Bauerle
Behavior Technician in Cleveland, GA. Individual provider (NPI-1).
NPI number1013533652
StatusActive
Last updated in NPPESJun 19, 2020
Details
- NPI
- 1013533652
- Entity type
- Individual (NPI-1)
- Name
- Kelsea N Bauerle
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2020
- Certification date
- Jun 19, 2020
- Last updated
- Jun 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-124576 | GA | Yes |
Practice location
54 Tom Teague RdCleveland, GA 30528-5991
Phone 770-668-6675
Mailing address
54 Tom Teague RdCleveland, GA 30528-5991
Phone 770-668-6675
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