Individual
TIFFANY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
10545 COLERAIN RD, SAINT MARYS, GA 31558-3720
(912) 266-8686
Mailing address
10545 COLERAIN RD, SAINT MARYS, GA 31558-3720
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-22-206597
IN
Other
Enumeration date
09/07/2022
Last updated
01/13/2025
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