Individual
ANDREW KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
14235 BLANCO RD, SAN ANTONIO, TX 78216-7718
(210) 415-9626
Mailing address
3631 CALLAGHAN RD APT 417, SAN ANTONIO, TX 78228-4342
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-278562
TX
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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