Individual
KELLI DENISE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7312 CENTRAL PARKE BLVD, MASON, OH 45040-6802
(513) 402-1711
(317) 520-8200
Mailing address
2733 E 12TH ST STE C2, BROOKLYN, NY 11235-4672
(248) 846-8700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61600
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/23/2017
Last updated
10/15/2025
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