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Individual

AVA JAYNE KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2522 NUTTER PARK DR, BEAVERCREEK, OH 45434-3500
(859) 282-0400
Mailing address
1130 BOONE AIRE RD, FLORENCE, KY 41042-1260
(859) 282-0400

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1-26-546895
OH

Other

Enumeration date
06/19/2026
Last updated
06/19/2026
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