Individual
KELLIE DEGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5276 HIGHWAY 17 BUSINESS, MURRELLS INLET, SC 29576-5214
(843) 449-0554
Mailing address
5276 HIGHWAY 17 BUSINESS, MURRELLS INLET, SC 29576-5214
(413) 519-6938
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-102250
SC
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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