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Individual
DR. KRISTEN NOELL KELLEY
Active
Individual
DR. KRISTEN NOELL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-09-5186
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609198175
COMPANY NPI
—
Enumeration date
03/20/2012
Last updated
03/21/2014
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