Individual
CHELSEY PAIGE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N THREE NOTCH ST, TROY, AL 36081-2010
(334) 792-5020
Mailing address
112 N THREE NOTCH ST, TROY, AL 36081-2010
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15647
AL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-228026
22-228026
—
Enumeration date
08/04/2022
Last updated
11/22/2024
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