Kelly Ann Willis

NPI #1801593298 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1801593298
Entity Type: Individual
Name: Kelly Ann Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 15, 2023
Last Updated: Feb 15, 2023

Practice Location

Address: 5715 VIEW PL
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98433-1173
Phone: (760) 577-5779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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