Keelyn M Clemence

NPI #1003570136 in Tustin, California

Provider Information

NPI Number: 1003570136
Entity Type: Individual
Name: Keelyn M Clemence
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 25, 2021
Last Updated: Oct 25, 2021

Practice Location

Address: 1405 MANCHESTER WAY
City: Tustin
State: California
ZIP Code: 92782-1785
Phone: (714) 856-2696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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