Individual
KELLY ELIZABETH CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 MAIN ST # 230, NORTH MYRTLE BEACH, SC 29582-3030
(813) 763-5469
(813) 441-8362
Mailing address
4102 SEAVIEW ST APT 4, NORTH MYRTLE BEACH, SC 29582-5100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-536355
SC
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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