Samrah Kelly

NPI #1336007178 in Justice, Illinois

Provider Information

NPI Number: 1336007178
Entity Type: Individual
Name: Samrah Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 12, 2026
Last Updated: Jan 12, 2026

Practice Location

Address: 8508 S 88TH TER APT 301
City: Justice
State: Illinois
ZIP Code: 60458-1951
Phone: (779) 703-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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