Individual
JANICE L KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
345 GREENWOOD ST, WORCESTER, MA 01607-1753
(508) 363-0201
(774) 243-9175
Mailing address
345 GREENWOOD ST, WORCESTER, MA 01607-1753
(508) 363-0201
(774) 243-9175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-88148
MA
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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