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Contact Information

JASHAWN KELLY
1145 ARROTT ST FL 2F
PHILADELPHIA, PA19124-3167
 Phone: 267-994-2624
 Fax: 855-489-7959
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for JASHAWN KELLY · (Male)

NPI # 1669971313
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2018
Last updated 08/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PC011754
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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