Individual
KELLY LYNN MARCHIONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED, LBS
Contact information
Practice address
1607 3RD ST, BEAVER, PA 15009-2420
(724) 728-8400
Mailing address
1607 3RD ST, BEAVER, PA 15009-2420
(724) 728-8400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000799
PA
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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