Most Relevant Information
Provider Data
| NPI Number: | 1003323577 |
| Provider Name: | KELLEY M. GRIFFIN |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/05/2018 |
| Last Updated: | 01/05/2018 |
Provider Practice Location
445 S WINONA AVE
LAKE ALFRED
FL
338503227
Practice Location Phone/Fax
| Phone: | 8635297575 |
| Fax: |
Provider Mailing Location
445 S WINONA AVE
LAKE ALFRED
FL
338503227
Provider Mailing Phone/Fax
| Phone: | 8635297575 |
| Fax: |