NPI 1013646629

Charlene a Kelly

Practitioner Behavior Technician Windsor, CT

Practice location

Address: 360 Bloomfield Ave STE 301, Windsor, CT 06095-2700
Phone: (877) 418-2978
Fax: (866) 500-2186
Mailing address: 350 Fairway Dr STE 101, Deerfield Beach, FL 33441-1834

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Connecticut →

Registry record

NPI: 1013646629
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2022
Record last updated: 8 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.