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

Madeline Grace Kelly

Individual provider Behavior Technician · NPI 1174305361

Madeline Grace Kelly is a Behavior Technician in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

369 Squire Canyon Rd Unit B
San Luis Obispo, CA 93401-8002
Phone: (760) 607-7936
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1174305361
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 20, 2023
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023

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