Individual
KELLY MCCLOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
16-566 KEAAU PAHOA RD # 188-111, KEAAU, HI 96749-8137
(808) 294-3022
Mailing address
16-566 KEAAU PAHOA RD # 188-111, KEAAU, HI 96749-8137
(808) 294-3022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-623-0
HI
Other
Enumeration date
09/07/2021
Last updated
01/31/2022
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