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Individual
STEPHANIE LYNN KELLY
Active
Individual
STEPHANIE LYNN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41845
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/09/2019
Last updated
09/11/2025
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