Individual
MS. KELLY DENEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
53779 GENERATIONS DR, SOUTH BEND, IN 46635-1576
(219) 359-3272
Mailing address
1202 OAKLAND ST, SOUTH BEND, IN 46615-1223
(574) 520-3821
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42018
—
103K00000X
Behavior Analyst
95000815A
IN
Other
Enumeration date
05/11/2020
Last updated
03/13/2026
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