Individual
MRS. COLLEEN EMMA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
48 ABERDEEN RD, ARLINGTON, MA 02476-5752
(774) 644-6276
Mailing address
48 ABERDEEN RD, ARLINGTON, MA 02476-5752
(774) 644-6276
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11212433
MA
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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