Costello, Kelly Lynn
Costello, Kelly Lynn is an sole proprietor health care provider with primary practice located at 4103 Lester Ct , Alexandria VA 22311-1121. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Costello, Kelly Lynn can be contacted via phone (615) 335-5844.Contact Information
Primary practice address
4103 Lester Ct
Alexandria VA 22311-1121
Phone: (615) 335-5844
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-15-19490 |
Profile Details
| NPI number | 1194177949 |
|---|---|
| LBN Legal business name | Costello, Kelly Lynn |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2016 |
| Last updated | Jul 5th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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