Individual
KAYLA N KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
42 WEST RD, LONDONDERRY, NH 03053-3114
(603) 508-8167
Mailing address
42 WEST RD, LONDONDERRY, NH 03053-3114
(603) 508-8167
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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