Individual
KRYSTAL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SUSSEX AVE, MILFORD, DE 19963-1853
(302) 503-3120
Mailing address
17128 WINDWARD BLVD UNIT 201, MILFORD, DE 19963-5038
(302) 296-8427
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59809
DE
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/05/2021
Last updated
01/23/2023
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