Hernandez, Kelly Ray
Hernandez, Kelly Ray is an sole proprietor health care provider with primary practice located at 6510 Town Center Dr Ste E , Clarkston MI 48346-4822. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Hernandez, Kelly Ray can be contacted via phone (248) 277-3005.Contact Information
Primary practice address
6510 Town Center Dr Ste E
Clarkston MI 48346-4822
Phone: (248) 277-3005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 7401000984 | Michigan |
Profile Details
| NPI number | 1154961274 |
|---|---|
| LBN Legal business name | Hernandez, Kelly Ray |
| Credentials | M.ED., BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2020 |
| Last updated | Aug 3rd, 2021 - about 3 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.
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