Kellie Bryson Carr
Behavior Technician in Medford, OR. Individual provider (NPI-1).
NPI number1255838017
StatusActive
Last updated in NPPESApr 9, 2018
Details
- NPI
- 1255838017
- Entity type
- Individual (NPI-1)
- Name
- Kellie Bryson Carr
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2018
- Last updated
- Apr 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Other names
- Kellie Michelle Hudspeth (Former Name)
Practice location
711 E Main St Ste 14Medford, OR 97504-7139
Phone 813-345-2345
Mailing address
822 W 12th StMedford, OR 97501-3422
Phone 623-363-1367
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All 64 Behavior Technician providers in Medford · All 5,435 providers in Medford
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