Individual
KELLY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9711 WASHINGTONIAN BLVD, GAITHERSBURG, MD 20878-7365
(410) 609-6357
Mailing address
1724 MARSHALL ST, BALTIMORE, MD 21230-4819
(920) 619-6686
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31555
MD
Other
Enumeration date
06/14/2018
Last updated
09/06/2022
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