Individual
MRS. JAMIE NICHOLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
315 WASHINGTON ST, COLUMBUS, IN 47201-6743
(812) 413-9321
(812) 413-9323
Mailing address
483 S NORRIS AVE, NORTH VERNON, IN 47265-7118
(812) 413-9321
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51223
IN
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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