Carr, Kellie Bryson

Carr, Kellie Bryson is an individual health care provider with primary practice located at 711 E Main St Ste 14 , Medford OR 97504-7139. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Carr, Kellie Bryson can be contacted via phone (813) 345-2345.

Contact Information

Primary practice address
711 E Main St Ste 14 Medford OR 97504-7139
Phone: (813) 345-2345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1255838017
LBN Legal business name Carr, Kellie Bryson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2018
Last updated Apr 9th, 2018 - about 8 years ago

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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