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Individual

KELLY O'NEILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
31557 SCHOOLCRAFT RD STE 200, LIVONIA, MI 48150-1848
(248) 765-6896
Mailing address
31557 SCHOOLCRAFT RD STE 200, LIVONIA, MI 48150-1848
(248) 765-6896

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-14-6138

Other

Enumeration date
09/26/2014
Last updated
07/07/2021
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