NPI 1023580065 · live from the CMS NPI Registry
Kelsey Grace Anderson
Community/Behavioral Health in Wheatland, WY. National Provider Identifier 1023580065, active.
NPI record
| NPI | 1023580065 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 1055 South St, Wheatland, WY 82201 |
| Practice phone | 855-883-8740 |
| Mailing address | 225 Cedar Hill St Ste 200, Marlborough, MA 01752 |
| Enumerated | December 31, 2018 |
| Last updated | March 27, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst | 103K00000X | — (CO) |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.