Kelli Bouck, BCBA

NPI #1932948288 in Southlake, Texas

Provider Information

NPI Number: 1932948288
Entity Type: Individual
Name: Kelli Bouck, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: May 24, 2024
Last Updated: May 24, 2024

Practice Location

Address: 230 S NOLEN DR
City: Southlake
State: Texas
ZIP Code: 76092-8078
Phone: (817) 402-8250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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