Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | NY |
NPI | 1003407859 |
---|---|
Provider Name | Kelsey Schyler Jones |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | New York, NY 10016-4202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2021 |
Last Update Date | 02/02/2021 |