Individual
KELLY WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 AIRPORT RD STE 1800, LAKEWOOD, NJ 08701-6924
(732) 523-1245
(732) 400-9170
Mailing address
150 AIRPORT RD STE 1800, LAKEWOOD, NJ 08701-6924
(732) 523-1245
(732) 400-9170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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