Individual
MS. KELLY L GARRAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 LLEWELYN ROAD, CHESTER HEIGHTS, PA 19017
(610) 209-2406
Mailing address
240 LLEWELLYN ROAD, CHESTER HEIGHTS, PA 19017-0109
(610) 209-2406
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003097
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH003097
STATE LICENSE
PA
Enumeration date
06/01/2016
Last updated
06/01/2016
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