Tanya Marie Kelly

NPI #1356835201 in Lakewood, Washington

Provider Information

NPI Number: 1356835201
Entity Type: Individual
Name: Tanya Marie Kelly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 14, 2018
Last Updated: Jun 14, 2018

Practice Location

Address: 8815 S TACOMA WAY STE 122
City: Lakewood
State: Washington
ZIP Code: 98499-7011
Phone: (253) 682-0320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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