Individual
SHANNON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 QUAIL LAKE LOOP, COLORADO SPRINGS, CO 80906-4651
(719) 540-2108
Mailing address
1330 QUAIL LAKE LOOP, COLORADO SPRINGS, CO 80906-4651
(719) 540-2108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-16888
—
106E00000X
Assistant Behavior Analyst
14856
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/05/2021
Last updated
02/11/2026
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