Individual
KELLY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6650 BROWNING RD STE M-22B, PENNSAUKEN, NJ 08109-1479
(818) 345-2345
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19387
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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