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Kevin Kelley

Behavior Technician in Colorado Spgs, CO. Individual provider (NPI-1).

NPI number1174238299
StatusActive
Last updated in NPPESJan 23, 2023

Details

NPI
1174238299
Entity type
Individual (NPI-1)
Name
Kevin Kelley
Sex
Male
Sole proprietor
No
Enumeration date
Jan 23, 2023
Certification date
Jan 23, 2023
Last updated
Jan 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–COYes

Practice location

2920 N Academy Blvd Ste 210
Colorado Spgs, CO 80917-5369

Phone 719-466-4809

Mailing address

2920 N Academy Blvd Ste 210
Colorado Spgs, CO 80917-5369

Phone 719-466-4809

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