Ilsley, Kelly Rose
Ilsley, Kelly Rose is an individual health care provider with primary practice located at 11120 S Crown Way Ste 1 , Wellington FL 33414-8718. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ilsley, Kelly Rose can be contacted via phone (561) 790-1191.Contact Information
Primary practice address
11120 S Crown Way Ste 1
Wellington FL 33414-8718
Phone: (561) 790-1191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY7971 | Florida |
Profile Details
| NPI number | 1689906604 |
|---|---|
| LBN Legal business name | Ilsley, Kelly Rose |
| Credentials | PSYD, ABPP, BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2010 |
| Last updated | Oct 29th, 2019 - about 7 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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