Kellie Sorrell

NPI #1952180895 in Sparta, Tennessee

Provider Information

NPI Number: 1952180895
Entity Type: Individual
Name: Kellie Sorrell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 28, 2023
Last Updated: Sep 28, 2023

Practice Location

Address: 1742 WALTER STONE RD
City: Sparta
State: Tennessee
ZIP Code: 38583-5748
Phone: (931) 254-1662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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