Alivia Catherine Kelly
Behavior Technician in Maplewood, MN. Individual provider (NPI-1).
NPI number1003624438
StatusActive
Last updated in NPPESDec 18, 2024
Details
- NPI
- 1003624438
- Entity type
- Individual (NPI-1)
- Name
- Alivia Catherine Kelly
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2024
- Certification date
- Dec 18, 2024
- Last updated
- Dec 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2385 Ariel St NMaplewood, MN 55109-2248
Phone 651-338-9974
Mailing address
2385 Ariel St NMaplewood, MN 55109-2248
Phone 651-338-9974
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Other Behavior Technician providers in Maplewood, MN
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All 37 Behavior Technician providers in Maplewood · All 1,400 providers in Maplewood
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