Female

Kelsey Edenfield BCBA

Behavioral Analyst in Watkinsville, GA(View on Map)

Full Name

Kelsey Edenfield BCBA

NPI Number

1093577728

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/29/2024

Specialties

(Taxonomies)

Code

103K00000X
156F00000X

Primary Taxonomy

Yes
No

Licenses

State

Georgia
Georgia

License Number

1-24-76267
RBT-21-175019

Contact
Information

Purpose

Mailing
Location

Address

300 INTERNATIONAL PKWY STE 200
1360 CADUCEUS WAY BLDG. 600 STE 101

City

Lake Mary
Watkinsville

State

FL
GA

Postal Code

32746-5028
30677-3355

Country

US
US

Telephone Number

(407) 915-7729
(762) 499-3476

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/09/2024

Provider Address

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