Kelsi Leah Ann Vickers

NPI #1164296299 in Ellington, Missouri

Provider Information

NPI Number: 1164296299
Entity Type: Individual
Name: Kelsi Leah Ann Vickers
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 9, 2023
Last Updated: Nov 9, 2023

Practice Location

Address: 315 E WALNUT ST
City: Ellington
State: Missouri
ZIP Code: 63638-7943
Phone: (573) 663-2644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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