Rebecca Kelly

NPI #1730791179 in Saint Louis Park, Minnesota

Provider Information

NPI Number: 1730791179
Entity Type: Individual
Name: Rebecca Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 18, 2020
Last Updated: May 16, 2023

Practice Location

Address: 4236 PARK GLEN RD
City: Saint Louis Park
State: Minnesota
ZIP Code: 55416-4758
Phone: (952) 906-7534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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