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Search › Arizona › 103K00000X

Kellie Bynum, BCBA

NPI 1598993099 · on the registry since 2009

Practice

Address
11221 N 28th Dr Bldg E
Phoenix, AZ 85029
Phone
(602) 997-2233
Organisation at this address
Genoa Healthcare Llc
Southwest Behavioral Health Services
Southwest Behavioral Health Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona