Shawn Kelly

NPI #1427675107 in Wasilla, Alaska

Provider Information

NPI Number: 1427675107
Entity Type: Individual
Name: Shawn Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 29, 2020
Last Updated: Jun 29, 2020

Practice Location

Address: 300 W SWANSON AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-6844
Phone: (907) 315-4790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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