Individual
KAITLYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10370 BATTLEVIEW PKWY, MANASSAS, VA 20109-2338
(571) 364-0440
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(818) 758-8015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000833
VA
103K00000X
Behavior Analyst
LBA00076
RI
Other
Enumeration date
08/31/2016
Last updated
07/21/2022
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