Individual
ALEYAH CHANEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 WOODRUFF DR, AYLETT, VA 23009-2853
(804) 258-8187
Mailing address
138 WOODRUFF DR, AYLETT, VA 23009-2853
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000552
VA
Other
Enumeration date
01/01/2019
Last updated
03/28/2024
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