Individual
MISS KELLY A KEARINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 COMPUTER DR W STE 210, ALBANY, NY 12205-1622
(888) 805-0759
Mailing address
45 BRIDGEWOOD LN, WATERVLIET, NY 12189-3450
(845) 476-4430
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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