Raulerson-Kellas, Kathryn Elizabeth

Raulerson-Kellas, Kathryn Elizabeth is an individual health care provider with primary practice located at 12727 Mcmanus Blvd Ste G , Newport News VA 23602-4459. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Raulerson-Kellas, Kathryn Elizabeth can be contacted via phone (757) 869-4162.

Contact Information

Primary practice address
12727 Mcmanus Blvd Ste G Newport News VA 23602-4459
Phone: (757) 869-4162
Fax: (757) 846-6959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0134000030 Virginia

Profile Details

NPI number 1649602533
LBN Legal business name Raulerson-Kellas, Kathryn Elizabeth
Credentials BCABA, LABA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2013
Last updated Apr 21st, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649602533 NPPES
Virginia Other 0134000030 VIRGINIA BOARD OF MEDICINE

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