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NPI Code Detail

MEDICARE: KELSEY HOFFMAN

MEDICARE: KELSEY HOFFMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst
2103K00000XBehavior AnalystBH006519PA

General Provider Information

NPI Number : 1164133518
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY HOFFMAN
Provider Business Mailing Address
First Line : 430 MAPLE RUN DR
Second Line :
City : YORK
State : PA
Zip : 17404-9153
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 WESTGATE DR STE 101
Second Line :
City : YORK
State : PA
Zip : 17408-6361
Country : US
Telephone Number : 717-862-9333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2022
Last Update Date : 02/12/2025

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Directions to “ KELSEY HOFFMAN ” Practice Location

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