Individual
KERRY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 W EXCHANGE ST # 101, PROVIDENCE, RI 02903-1135
(401) 214-2330
Mailing address
290 W EXCHANGE ST # 101, PROVIDENCE, RI 02903-1135
(401) 214-2330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52519
MA
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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