Kellsea Agnes Lee Clyde

Behavior Analyst · San Bruno, CA

Individual Active NPI

NPI number 1699472076

Practice location

23 Pacific Bay Cir Apt 106
San Bruno, CA 94066-6140
Phone
(415) 310-6495

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NPI record

NPI
1699472076
Entity type
Individual (Type 1)
Enumeration date
February 15, 2023
Last updated
February 15, 2023
Certified
February 15, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — CA

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone
(772) 349-6317

About Kellsea Clyde

Kellsea Agnes Lee Clyde is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 23 Pacific Bay Cir Apt 106, San Bruno, CA 94066-6140. The NPI number 1699472076 was assigned on February 15, 2023 and the record was last updated on February 15, 2023.

Frequently asked questions

What is the NPI number of Kellsea Agnes Lee Clyde?

The NPI number is 1699472076.

What is the phone number of Kellsea Clyde?

The phone number listed for the practice location is (415) 310-6495.

Where is Kellsea Clyde located?

23 Pacific Bay Cir Apt 106, San Bruno, CA 94066-6140.

What is the taxonomy code for Kellsea Clyde?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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