Lani Marie Kelly, RBT

NPI #1760138374 in Crestview, Florida

Provider Information

NPI Number: 1760138374
Entity Type: Individual
Name: Lani Marie Kelly, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Feb 23, 2022
Last Updated: Feb 23, 2022

Practice Location

Address: 416 GARDEN ST STE B
City: Crestview
State: Florida
ZIP Code: 32536-1755
Phone: (808) 729-6398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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