Iman Kelly

NPI #1205689007 in Homewood, Illinois

Provider Information

NPI Number: 1205689007
Entity Type: Individual
Name: Iman Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 10, 2024
Last Updated: Apr 10, 2024

Practice Location

Address: 18220 HARWOOD AVE STE 3
City: Homewood
State: Illinois
ZIP Code: 60430-2151
Phone: (464) 216-7116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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