Samuel Kelley

NPI #1154184984 in Lutz, Florida

Provider Information

NPI Number: 1154184984
Entity Type: Individual
Name: Samuel Kelley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 5, 2024
Last Updated: Feb 5, 2024

Practice Location

Address: 17815 HUNTING BOW CIR
City: Lutz
State: Florida
ZIP Code: 33558-5401
Phone: (813) 491-4425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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