Individual
MS. BETHANY LOUISE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6216 SOUTH LEWIS AVENUE, TULSA, OK 74136
(918) 960-7852
Mailing address
11753 S 86TH EAST AVE, BIXBY, OK 74008-2101
(918) 760-8129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
02/14/2020
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