Individual
ALDON KELLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 228-9923
Mailing address
903 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 228-9923
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-347128
TX
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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