Gerald Kellough
Assistant Behavior Analyst in Athens, OH. Individual provider (NPI-1).
NPI number1861990285
StatusActive
Last updated in NPPESJan 31, 2018
Details
- NPI
- 1861990285
- Entity type
- Individual (NPI-1)
- Name
- Gerald Kellough
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2018
- Last updated
- Jan 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | – | Yes |
Practice location
90 Hospital DrAthens, OH 45701-2301
Phone 740-592-3091
Mailing address
1049 Western AveChillicothe, OH 45601-1104
Phone 740-773-4366 · Fax 740-775-7855
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