Individual
KELLY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBS
Contact information
Practice address
208 LORRAINE AVE, ORELAND, PA 19075-1702
(267) 474-1538
Mailing address
208 LORRAINE AVE, ORELAND, PA 19075-1702
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
PA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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