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Kelli Dyerly

Behavior Technician in Livonia, MI. Individual provider (NPI-1).

NPI number1982431987
StatusActive
Last updated in NPPESSep 16, 2024

Details

NPI
1982431987
Entity type
Individual (NPI-1)
Name
Kelli Dyerly
Sex
Female
Sole proprietor
No
Enumeration date
Sep 16, 2024
Certification date
Sep 16, 2024
Last updated
Sep 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

31129 Plymouth Rd
Livonia, MI 48150-2103

Phone 734-466-5150

Mailing address

31153 Plymouth Rd Ste 105
Livonia, MI 48150-2134

Phone 734-466-5150

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