Madeline Grace Kelly
NPI #1174305361 in San Luis Obispo, California
Provider Information
- NPI Number
- 1174305361
- Entity Type
- Individual
- Name
- Madeline Grace Kelly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 20, 2023
- Last Updated
- Oct 20, 2023
Practice Location
- Address
- 369 SQUIRE CANYON RD UNIT B
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-8002
- Phone
- (760) 607-7936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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