Kelly Trutter, BCBA
NPI #1891013470 in Springfield, Illinois
Provider Information
- NPI Number
- 1891013470
- Entity Type
- Individual
- Name
- Kelly Trutter, BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- May 6, 2010
- Last Updated
- Feb 24, 2021
Practice Location
- Address
- 5221 6TH STREET FRONTAGE RD E
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-5190
- Phone
- (916) 752-3961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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