Provider Demographics
NPI:1609524016
Name:WRIGHT, KELSIE (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:KELSIE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 PHEASANT HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-3533
Mailing Address - Country:US
Mailing Address - Phone:337-302-1677
Mailing Address - Fax:
Practice Address - Street 1:3425 US 9
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3554
Practice Address - Country:US
Practice Address - Phone:732-201-5676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst