| NPI | 1447771092 |
|---|---|
| Other Name | KELLY ANN DILLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-16-24778) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1032684161) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |