Individual
KELLY TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
3330 CHASTAIN MEADOWS PKWY NW STE 200, KENNESAW, GA 30144-5881
(678) 689-5823
Mailing address
3825 GLENLAKE DR, DOUGLASVILLE, GA 30134-2736
(678) 689-5823
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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