Individual
MS. AMANDA DYMPNA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.PSYCH.BAT, BCBA-D
Contact information
Practice address
2695 S JERSEY ST, DENVER, CO 80222-6321
(303) 759-1192
Mailing address
124 S CLARKSON ST, DENVER, CO 80209-2122
(303) 505-0897
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10494
ZZ
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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