Kelly Phelan, MA, BCBA

NPI #1700385960 in Plainfield, Illinois

Provider Information

NPI Number: 1700385960
Entity Type: Individual
Name: Kelly Phelan, MA, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: MA, BCBA
Enumeration Date: Feb 2, 2018
Last Updated: Aug 27, 2020

Practice Location

Address: 11914 S ROUTE 59 UNIT 124
City: Plainfield
State: Illinois
ZIP Code: 60585
Phone: (815) 469-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Behavior Technician	106S00000X

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