Angel Kelly

NPI #1992409940 in Chesterfield, Michigan

Provider Information

NPI Number: 1992409940
Entity Type: Individual
Name: Angel Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 27, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 51145 NICOLETTE DR
City: Chesterfield
State: Michigan
ZIP Code: 48047-4585
Phone: (586) 228-9991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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