Kelly, Shannon

Kelly, Shannon is an individual health care provider with primary practice located at 1330 Quail Lake Loop , Colorado Springs CO 80906-4651. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Kelly, Shannon can be contacted via phone (719) 540-2108.

Contact Information

Primary practice address
1330 Quail Lake Loop Colorado Springs CO 80906-4651
Phone: (719) 540-2108
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 14856

Profile Details

NPI number 1972182236
LBN Legal business name Kelly, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2021
Last updated Apr 23rd, 2024 - about 7 months 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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