Most Relevant Information
Provider Data
| NPI Number: | 1003304817 |
| Provider Name: | AMANDA KELSO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2018 |
| Last Updated: | 04/26/2018 |
Provider Practice Location
12110 HUFFMEISTER RD.
CYPRESS
TX
77429
Practice Location Phone/Fax
| Phone: | 2818941423 |
| Fax: |
Provider Mailing Location
11820 CYPRESS CORNER LN
HOUSTON
TX
770651132
Provider Mailing Phone/Fax
| Phone: | 2818941423 |
| Fax: |