Individual
KELLY A PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
67 WELLWOOD RD, PORTLAND, ME 04103-4236
(207) 653-0922
Mailing address
67 WELLWOOD RD, PORTLAND, ME 04103-4236
(207) 653-0922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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