Individual
MRS. TIFFANY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
919 CONFERENCE DR STE 4139, GOODLETTSVILLE, TN 37072-1933
(615) 285-9614
(615) 694-5367
Mailing address
919 CONFERENCE DR STE 4139, GOODLETTSVILLE, TN 37072-1933
(615) 285-9614
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
513
TN
Other
Enumeration date
08/23/2019
Last updated
03/19/2021
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