Kelly, Andrea Isabel

Kelly, Andrea Isabel is an individual health care provider with primary practice located at 11240 Waples Mill Road Suite 102, Fairfax VA 22030. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kelly, Andrea Isabel can be contacted via phone (703) 237-2219.

Contact Information

Primary practice address
11240 Waples Mill Road Suite 102 Fairfax VA 22030
Phone: (703) 237-2219
Fax: (703) 237-2729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11211911 Florida

Profile Details

NPI number 1891050720
LBN Legal business name Kelly, Andrea Isabel
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2012
Last updated Aug 20th, 2013 - about 11 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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