Most Relevant Information
Provider Data
| NPI Number: | 1003462110 |
| Provider Name: | KELLY INGLISA MA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-20-40679 |
Most Important Dates
| Enumeration Date: | 08/14/2019 |
| Last Updated: | 08/17/2021 |
Provider Practice Location
1299 FARNAM ST STE 300
OMAHA
NE
681021857
Practice Location Phone/Fax
| Phone: | 5312720100 |
| Fax: |
Provider Mailing Location
2008 E JACKSON ST APT 10
COLORADO SPRINGS
CO
809091842
Provider Mailing Phone/Fax
| Phone: | 7202011771 |
| Fax: |