Individual
CANDACE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1900 INDIAN WOOD CIR STE 100, MAUMEE, OH 43537-4033
(419) 830-0078
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-70122
OH
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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