Individual
KELLEY LEIGH COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
2430 S BUSINESS 31, PERU, IN 46970-7188
(765) 460-5071
Mailing address
612 E BOULEVARD, KOKOMO, IN 46902-2271
(765) 460-5071
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59626
IN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/18/2013
Last updated
06/07/2024
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