Individual
MELISSA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1360 HARRINGTON RD, HAVERTOWN, PA 19083-2035
(610) 608-1549
Mailing address
1360 HARRINGTON RD, HAVERTOWN, PA 19083-2035
(610) 608-1549
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17280
PA
Other
Enumeration date
01/07/2020
Last updated
08/22/2024
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