Larson, Kelly Elizabeth

Larson, Kelly Elizabeth is an individual health care provider with primary practice located at 1025 E 54Th St , Indianapolis IN 46220-3219. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Larson, Kelly Elizabeth can be contacted via phone (317) 815-5501.

Contact Information

Primary practice address
1025 E 54Th St Indianapolis IN 46220-3219
Phone: (317) 815-5501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-15-6705 Indiana

Profile Details

NPI number 1144691551
LBN Legal business name Larson, Kelly Elizabeth
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2015
Last updated Oct 12th, 2015 - about 11 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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