Individual
CAROLINE JOANNA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 INDEPENDENCE BLVD, SUITE 100, WILMINGTON, NC 28412-0019
(855) 832-6727
Mailing address
125 LOUIE LN, JACKSONVILLE, NC 28540-9334
(850) 509-1381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84092
NC
106E00000X
Assistant Behavior Analyst
A2712
NC
Other
Enumeration date
08/14/2023
Last updated
11/26/2025
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