Individual
KELLY ANNE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
145 BUCK HL, GREENTOWN, PA 18426-4812
(570) 390-0206
Mailing address
145 BUCK HL, GREENTOWN, PA 18426-4812
(570) 390-0206
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11624065
PA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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