Individual
CHRISTINA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5705 WILLOW SPRINGS RD, COUNTRYSIDE, IL 60525-3478
(312) 965-2997
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68543
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/29/2021
Last updated
09/24/2025
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