Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larissa Nicole Kelly

Individual provider Behavior Technician · NPI 1043857667

Larissa Nicole Kelly is a Behavior Technician in Stafford, Virginia. Licensed in Virginia. Registered with an NPI since 2019.

Licensed in
VA
In the registry since
2019

Practice location Address checks out

2761 Jefferson Davis Hwy Ste 107
Stafford, VA 22554-8330
Phone: (540) 699-3877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (VA)

Record details

NPI number1043857667
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2019
Last updated in NPPESDecember 2, 2019

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