Individual provider · NPI-1

Kelly Corado, RBT

Behavior Technician · Dumfries, VA

NPI number1114591625
StatusActive
Last updated in NPPESMay 19, 2021

Details

NPI
1114591625
Entity type
Individual (NPI-1)
Name
Kelly Corado
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2021
Certification date
May 19, 2021
Last updated
May 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

17932 Fraley Blvd Ste 205
Dumfries, VA 22026-2456

Phone 703-229-4216

Mailing address

17932 Fraley Blvd Ste 205
Dumfries, VA 22026-2456

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