Organization
J KELLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SALOME KELLY MS, BCBA (BEHAVIOR ANALYST)
(757) 450-3421
Entity
Organization
Contact information
Practice address
810 HOUSMAN CT, VIRGINIA BEACH, VA 23462-7010
(757) 450-3421
Mailing address
810 HOUSMAN CT, VIRGINIA BEACH, VA 23462-7010
(757) 450-3421
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01330000363
VA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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