Wellformed AI

NPI 1326712175 · live from the CMS NPI Registry

Krystal Kelley

Behavior Analyst in Milford, DE. National Provider Identifier 1326712175, active.

NPI record

NPI1326712175 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1 Sussex Ave, Milford, DE 19963
Practice phone302-503-3120
Mailing address17128 Windward Blvd Unit 201, Milford, DE 19963
EnumeratedAugust 5, 2021
Last updatedJanuary 23, 2023
Sole proprietorNo
Other namesKrystal Erickson

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000X—
Behavior Analyst primary103K00000X1-22-59809 (DE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.