Kelly Reese Whidden, RBT
NPI #1962191346 in San Clemente, California
Provider Information
- NPI Number
- 1962191346
- Entity Type
- Individual
- Name
- Kelly Reese Whidden, RBT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Credential
- RBT
- Enumeration Date
- May 2, 2023
- Last Updated
- May 2, 2023
Practice Location
- Address
- 1000 CALLE AMANECER
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-6214
- Phone
- (949) 498-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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