Kelly Grace McElveen
Behavior Technician in Roseville, CA. Individual provider (NPI-1).
NPI number1164068193
StatusActive
Last updated in NPPESNov 25, 2019
Details
- NPI
- 1164068193
- Entity type
- Individual (NPI-1)
- Name
- Kelly Grace McElveen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2019
- Last updated
- Nov 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1328 Blue Oaks Blvd Ste 180Roseville, CA 95678-7037
Phone 916-676-0488
Mailing address
1328 Blue Oaks Blvd Ste 180Roseville, CA 95678-7037
Phone 916-676-0488
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