Individual
JILLIAN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 S LUZERNE AVE, BALTIMORE, MD 21224-3715
(508) 344-5404
Mailing address
502 S LUZERNE AVE, BALTIMORE, MD 21224-3715
(508) 344-5404
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28092
MD
Other
Enumeration date
01/24/2018
Last updated
08/28/2024
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