KELSEY BALLOU
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1801303680- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2460 INDIA HOOK RD STE AND105, ROCK HILL, SC, 297323530
- Phone
- (803) 366-6250
Specialties & Taxonomies
Behavior Technician
Primary License: SC #17-44499