Kelsey Ann Jubinville

Individual provider Active NPI Behavior Analyst · Saint Robert, MO

NPI 1770054504 · NPPES record last updated Dec 5, 2018

Key facts

NPI
1770054504
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
496 Old Route 66
Saint Robert, MO 65584-3728
Phone
(573) 246-6164
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

496 Old Route 66
Saint Robert, MO 65584-3728

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in Saint Robert, MO

All providers in Saint Robert, MO · Behavior Analyst in Missouri

Sources for this page

Verify at the official NPI Registry.