Kelly Ryan Mac Cormac
Kelly Ryan Mac Cormac is a Behavior Technician in Fresno, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
126 E Harvard AveFresno, CA 93704-5326
Phone: (925) 899-6293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1831776228 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 24, 2021 |
| Last updated in NPPES | March 24, 2021 |
| Certification date | March 24, 2021 |
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