Individual
KARYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8625 ASPEN CT, CHARLOTTE, NC 28227-7074
(732) 858-1824
(866) 477-3119
Mailing address
8625 ASPEN CT, CHARLOTTE, NC 28227-7074
(732) 858-1824
(866) 477-3119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-46392
BACB CERTIFICATION
NC
Enumeration date
01/09/2021
Last updated
01/09/2021
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