# MS. NICOLE SHAVON KELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053849166
- **Gender:** F
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 171W00000X | Contractor | — | — | — |
| 172V00000X | Community Health Worker | — | — | — |
| 225400000X | Rehabilitation Practitioner | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 06/02/2017
- **Last updated:** 07/21/2022