Most Relevant Information
Provider Data
| NPI Number: | 1003394842 |
| Provider Name: | KELLIE LONEY M.A.,BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-22-58811 |
Most Important Dates
| Enumeration Date: | 08/03/2018 |
| Last Updated: | 05/03/2022 |
Provider Practice Location
1650 SPRUCE ST STE 250
RIVERSIDE
CA
925077429
Practice Location Phone/Fax
| Phone: | 7608153934 |
| Fax: |
Provider Mailing Location
662 ENCINITAS BLVD STE 208
ENCINITAS
CA
920246789
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |