Individual
MISS KELLY ELIZABETH CAROLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1670 MAKALOA ST STE 204-125, HONOLULU, HI 96814-3232
(703) 506-0123
Mailing address
1101 S STATE ST APT 2105, CHICAGO, IL 60605-3212
(708) 987-2241
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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