Kelli Brielle Ericksen, RBT

NPI #1265165351 in Lithia, Florida

Provider Information

NPI Number: 1265165351
Entity Type: Individual
Name: Kelli Brielle Ericksen, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Jul 6, 2022
Last Updated: Jul 6, 2022

Practice Location

Address: 12426 HORSESHOE BEND DR
City: Lithia
State: Florida
ZIP Code: 33547-3305
Phone: (813) 407-7275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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