MRS. Kelly Jo Avila

NPI #1407514425 in Gladwin, Michigan

Provider Information

NPI Number: 1407514425
Entity Type: Individual
Name: MRS. Kelly Jo Avila
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 7, 2021
Last Updated: Apr 13, 2022

Practice Location

Address: 1234 W CEDAR AVE
City: Gladwin
State: Michigan
ZIP Code: 48624-1818
Phone: (989) 600-3831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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