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)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