Individual
KELCIE ILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4177 RAINBOW DR, DECATUR, GA 30034-2224
(404) 795-6935
Mailing address
1101 CARTER ST, CHATTANOOGA, TN 37402-5017
(318) 237-0766
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1776
TN
103K00000X
Behavior Analyst
Primary
LBA002974
GA
Other
Enumeration date
02/25/2025
Last updated
07/14/2026
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