Individual
COLLEEN ERIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LBS, BCBA
Contact information
Practice address
170 PHEASANT RUN STE 100, NEWTOWN, PA 18940-1877
(215) 579-0670
Mailing address
170 PHEASANT RUN STE 100, NEWTOWN, PA 18940-1877
(215) 579-0670
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72848
PA
103K00000X
Behavior Analyst
BH006057
PA
Other
Enumeration date
08/03/2022
Last updated
04/03/2026
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