Individual
KELLY LYNN BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1886 ROHRERSTOWN RD, LANCASTER, PA 17601-2322
(717) 735-1920
(717) 735-1921
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-24-77785
PA
103K00000X
Behavior Analyst
Primary
BH004563
PA
103K00000X
Behavior Analyst
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Other
Enumeration date
10/07/2019
Last updated
05/15/2025
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