Mike Kelly

NPI #1013521756 in Carmel, Indiana

Provider Information

NPI Number: 1013521756
Entity Type: Individual
Name: Mike Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 1, 2020
Last Updated: Sep 1, 2020

Practice Location

Address: 1081 3RD AVE SW STE 7
City: Carmel
State: Indiana
ZIP Code: 46032-7500
Phone: (317) 564-0934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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