Individual
KELLY BRIELLE HORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 CHAMBERLAINE AVE, POTTSVILLE, PA 17901-8648
(570) 593-5484
Mailing address
1200 MAHANTONGO ST APT 2W, POTTSVILLE, PA 17901-3330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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