Individual
AVERY KELLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 BOARDMAN ST, #209, MCMINNVILLE, OR 97128
(253) 677-0203
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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