Individual
REBECCA M KELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2767 E US HIGHWAY 6, KENDALLVILLE, IN 46755-9341
(260) 336-3350
Mailing address
2767 E US HIGHWAY 6, KENDALLVILLE, IN 46755-9341
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41466
IN
106S00000X
Behavior Technician
17-46367
IN
Other
Enumeration date
01/02/2019
Last updated
11/27/2023
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