Individual
SHANNON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
1880 GLASSBORO RD, WILLIAMSTOWN, NJ 08094-8721
(856) 374-2821
Mailing address
1880 GLASSBORO RD, WILLIAMSTOWN, NJ 08094-8721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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