Individual
MR. NATHAN SCOTT KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 PLEASANT DR STE 201, ALIQUIPPA, PA 15001-1360
(724) 888-2097
Mailing address
604 STATE ROUTE 208, PULASKI, PA 16143-4104
(330) 519-1594
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH005348
PA
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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