Erin Elisabeth Kelly
Behavior Technician in Garden Grove, CA. Individual provider (NPI-1).
NPI number1164098299
StatusActive
Last updated in NPPESMay 30, 2021
Details
- NPI
- 1164098299
- Entity type
- Individual (NPI-1)
- Name
- Erin Elisabeth Kelly
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2021
- Certification date
- May 30, 2021
- Last updated
- May 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
12399 Lewis St Ste 202Garden Grove, CA 92840-4697
Phone 714-750-0575
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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