Individual
KATHRYN M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3925 MIDLANDS RD, WILLIAMSBURG, VA 23188-2575
(757) 585-3216
(757) 561-2541
Mailing address
3925 MIDLANDS RD, WILLIAMSBURG, VA 23188-2575
(757) 585-3216
(757) 561-2541
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002790
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/14/2021
Last updated
10/03/2023
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