Kelly Raye

NPI #1548867039 in Evanston, Illinois

Provider Information

NPI Number: 1548867039
Entity Type: Individual
Name: Kelly Raye
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 7, 2020
Last Updated: Oct 7, 2020

Practice Location

Address: 2530 RIDGE AVE
City: Evanston
State: Illinois
ZIP Code: 60201-2492
Phone: (866) 815-6592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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