Individual
KIMBERLY C. KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
62 LOWELL ST STE 5, MANCHESTER, NH 03101-1607
(603) 664-4411
Mailing address
100 CUMMINGS CTR, 157J, BEVERLY, MA 01915-6115
(978) 969-6019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
04/15/2019
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