Individual
KELLY KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 S HOMER RD, MIDLAND, MI 48640-8367
(989) 486-8351
Mailing address
32 S HOMER RD, MIDLAND, MI 48640-8367
(989) 486-8351
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/21/2018
Last updated
08/04/2020
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