KELLY PHILLIPS

FORT WAYNE, IN
NPI1881185536
Former NameKELLY SCHOLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IN  1-18-31563)
Enumeration Date2018-05-29
Last Update Date2019-02-15
Business Address
KELLY PHILLIPS BCBA
3030 LAKE AVE STE 20
FORT WAYNE, IN 46805-5428
Phone number: 260-420-9332
Mailing Address
KELLY PHILLIPS BCBA
4103 CASTELL DR
FORT WAYNE, IN 46835-2100
Phone number: 765-730-3691