Gloria, Kelly

Gloria, Kelly is an individual health care provider with primary practice located at 5501 Antique Rose Way , Riverbank CA 95367-9505. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gloria, Kelly can be contacted via phone (209) 521-4791.

Contact Information

Primary practice address
5501 Antique Rose Way Riverbank CA 95367-9505
Phone: (209) 521-4791
Fax: (209) 521-4794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-9963 California

Profile Details

NPI number 1447655253
LBN Legal business name Gloria, Kelly
Credentials BCBA, MA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2014
Last updated Nov 10th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers