Individual
MRS. COURTNEY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7 E CREEK CIR, GUILFORD, CT 06437-2821
(203) 779-9074
Mailing address
18 PARDEE PL, MADISON, CT 06443-2207
(203) 779-9074
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11416535
CT
Other
Enumeration date
01/27/2015
Last updated
07/08/2019
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