JACOB WALLACE KELLY

NEWBURGH, IN
NPI1508412081
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-19-91529)
Enumeration Date2019-08-12
Last Update Date2019-08-12
Business Address
JACOB WALLACE KELLY
4655 ROSEBUD LN
NEWBURGH, IN 47630-9366
Phone number: 812-213-8031
Mailing Address
JACOB WALLACE KELLY
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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