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

Ottavia Michaila Candace Bryan-Kelley

Individual provider Behavior Technician · NPI 1053239137

Ottavia Michaila Candace Bryan-Kelley is a Behavior Technician in Melville, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

225 Broadhollow Rd Ste 402
Melville, NY 11747-4899
Phone: (631) 639-4209
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 829030702 (NY)

Record details

NPI number1053239137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

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