Individual
KELLY MCCOLLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4861 DUCK CREEK RD, CINCINNATI, OH 45227-1421
(513) 832-2884
Mailing address
623 TRADITION RDG, CINCINNATI, OH 45245-3505
(513) 659-8770
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75545
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/15/2021
Last updated
08/08/2025
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