Ilsley, Kelly Rose

Ilsley, Kelly Rose is an individual health care provider with primary practice located at 11120 S Crown Way Ste 1 , Wellington FL 33414-8718. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ilsley, Kelly Rose can be contacted via phone (561) 790-1191.

Contact Information

Primary practice address
11120 S Crown Way Ste 1 Wellington FL 33414-8718
Phone: (561) 790-1191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY7971 Florida

Profile Details

NPI number 1689906604
LBN Legal business name Ilsley, Kelly Rose
Credentials PSYD, ABPP, BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2010
Last updated Oct 29th, 2019 - about 6 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