Kelsey Lynn Wood
Individual provider Active NPI Behavior Technician · Anson, TX
NPI 1003328394 · NPPES record last updated Oct 26, 2017
Key facts
- NPI
- 1003328394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1715 Avenue L
Anson, TX 79501-6117 - Phone
- (903) 426-4866
- NPI assigned
- Oct 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1715 Avenue L
Anson, TX 79501-6117
Mailing address
1715 Avenue L
Anson, TX 79501-6117
Phone (903) 426-4866
Other providers in Anson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.