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1760060735
BARRY SHANE KELLY
EDMOND, OK
NPI
1760060735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-23-63651)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-03-31
Last Update Date
2023-11-10
Business Address
BARRY SHANE KELLY
1900 E 15TH ST STE 800B
EDMOND, OK 73013-6682
Phone number: 405-455-6868
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Mailing Address
BARRY SHANE KELLY
1900 E 15TH ST STE 800B
EDMOND, OK 73013-6682
Phone number: 405-455-6868
Copy
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