Individual
SHAWN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
576 AVENUE A, BAYONNE, NJ 07002-1704
(201) 725-5062
Mailing address
576 AVENUE A, BAYONNE, NJ 07002-1704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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