Most Relevant Information
Provider Data
| NPI Number: | 1003457433 |
| Provider Name: | KELLY LYNN BEAM |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/07/2019 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
83 E FRANKLIN ST
EPHRATA
PA
175222446
Practice Location Phone/Fax
| Phone: | 5704199609 |
| Fax: |
Provider Mailing Location
410 N PRINCE ST
LANCASTER
PA
176033010
Provider Mailing Phone/Fax
| Phone: | 7175606452 |
| Fax: |