Kelly, Katherine Michelle

Kelly, Katherine Michelle is an individual health care provider with primary practice located at 12 Monument Dr , Stafford VA 22554-8508. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Kelly, Katherine Michelle can be contacted via phone (540) 383-7133.

Contact Information

Primary practice address
12 Monument Dr Stafford VA 22554-8508
Phone: (540) 383-7133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1770097206
LBN Legal business name Kelly, Katherine Michelle
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2017
Last updated Apr 3rd, 2018 - 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.

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