Kelsie Beth Keller, RBT
Behavior Technician in Nampa, ID. Individual provider (NPI-1).
NPI number1467100719
StatusActive
Last updated in NPPESMar 15, 2022
Details
- NPI
- 1467100719
- Entity type
- Individual (NPI-1)
- Name
- Kelsie Beth Keller
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2022
- Certification date
- Mar 15, 2022
- Last updated
- Mar 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-206607 | ID | Yes |
Practice location
220 W Georgia AveNampa, ID 83686-2835
Phone 425-365-3262
Mailing address
2432 Pisces DrNampa, ID 83651-1694
Phone 208-308-4367
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