Individual
MR. ANTHONY RINGO KELLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 683-5193
Mailing address
3377 WALLACE ST, JURUPA VALLEY, CA 92509-4660
(951) 236-7721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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