Individual
JEANETTE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
123 MEDICAL CENTER DR, PRATTVILLE, AL 36066-7279
(334) 833-0320
Mailing address
123 MEDICAL CENTER DR, PRATTVILLE, AL 36066-7279
(334) 491-3020
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2024-162
AL
106S00000X
Behavior Technician
RBT-23-268874
AL
Other
Enumeration date
04/18/2023
Last updated
03/18/2026
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