Individual
DANIELLE ARIANA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(573) 884-6052
Mailing address
367 COUNTY ROAD 394, HARTSBURG, MO 65039-1109
(347) 735-3183
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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