Individual
MRS. KELLY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. LBS BCBA
Contact information
Practice address
807 LAWN AVE, SELLERSVILLE, PA 18960-1549
(267) 404-5988
Mailing address
213 N STERLING ST, ALLENTOWN, PA 18104-5140
(610) 442-8583
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003213
PA
Other
Enumeration date
01/09/2017
Last updated
01/10/2017
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