Individual
KELLY INGLISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(531) 272-0100
Mailing address
2008 E JACKSON ST APT 10, COLORADO SPRINGS, CO 80909-1842
(720) 201-1771
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40679
CO
Other
Enumeration date
08/14/2019
Last updated
08/17/2021
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