Kelly Ishmael
Kelly Ishmael is a Behavior Technician in Glendale, Arizona. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
17235 N 75th Ave Ste G-120Glendale, AZ 85308-0831
Phone: (303) 989-8169
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1386373694 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | June 10, 2022 |
| Last updated in NPPES | July 13, 2026 |
| Certification date | June 9, 2022 |
| Mailing address | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 |
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