Individual provider · NPI-1

Kelley Patricia Cohron, BCBA

Behavior Analyst · Buford, GA

NPI number1245823418
StatusActive
Last updated in NPPESFeb 18, 2021

Details

NPI
1245823418
Entity type
Individual (NPI-1)
Name
Kelley Patricia Cohron
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Feb 18, 2021
Certification date
Feb 18, 2021
Last updated
Feb 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst–GAYes

Practice location

2140 Buford Hwy Ste 208
Buford, GA 30518-6124

Phone 678-467-2561

Mailing address

2140 Buford Hwy Ste 208
Buford, GA 30518-6124

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