Bynum, Kellie

Bynum, Kellie is an individual health care provider with primary practice located at 11221 N 28Th Dr Bldg E , Phoenix AZ 85029-5615. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bynum, Kellie can be contacted via phone (602) 997-2233.

Contact Information

Primary practice address
11221 N 28Th Dr Bldg E Phoenix AZ 85029-5615
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BEH-000080 Arizona

Profile Details

NPI number 1598993099
LBN Legal business name Bynum, Kellie
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2009
Last updated Jan 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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