Leila Kelly
Behavior Technician in Colton, CA. Individual provider (NPI-1).
NPI number1841024155
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1841024155
- Entity type
- Individual (NPI-1)
- Name
- Leila Kelly
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2024
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1420 E Cooley Dr Ste 204Colton, CA 92324-3953
Phone 310-388-7365
Mailing address
1420 E Cooley Dr Ste 204Colton, CA 92324-3953
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