Individual
JUSTIN WILLIAM KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
665 N GILBERT RD STE 152, GILBERT, AZ 85234-3395
(602) 726-2300
Mailing address
2153 LEISURE WORLD, MESA, AZ 85206-5372
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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