NPI 1184204422

Kelsey Lilly, MS

Practitioner Behavior Analyst Wauwatosa, WI

Practice location

Address: 10930 W Potter Rd STE a, Wauwatosa, WI 53226-3450
Phone: (262) 200-0900
Mailing address: 1436 E Saveland Ave, Milwaukee, WI 53207-4078

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1184204422
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2021
Record last updated: 12 Apr 2021

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.