MISS Autumn Margaret Kelly

NPI #1245728419 in Red Wing, Minnesota

Provider Information

NPI Number: 1245728419
Entity Type: Individual
Name: MISS Autumn Margaret Kelly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 24, 2018
Last Updated: Jan 30, 2025

Practice Location

Address: 4911 LEARNING LN
City: Red Wing
State: Minnesota
ZIP Code: 55066-4533
Phone: (651) 360-3202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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