Wise, Kelly
Wise, Kelly is an individual health care provider with primary practice located at 105 Windsor Path Ste 1 , Georgetown KY 40324-9819. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wise, Kelly can be contacted via phone (203) 885-8293.Contact Information
Primary practice address
105 Windsor Path Ste 1
Georgetown KY 40324-9819
Phone: (203) 885-8293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-20-45730 |
Profile Details
| NPI number | 1720689722 |
|---|---|
| LBN Legal business name | Wise, Kelly |
| Credentials | BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2020 |
| Last updated | Jan 5th, 2022 - about 4 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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