Breanna Kelly, LCSW is a
Behavior Analyst based in Decatur, Georgia. Breanna Kelly is licensed to practice in * (Not Available) (license number 11833409) and her current practice location is
4026 Birchwood Cv, Decatur, Georgia. She can be reached at her office (for appointments etc.) via phone at
(813) 361-0596.
NPI number for Breanna Kelly is 1871047720 and her current mailing address is 4026 Birchwood Cv, Decatur, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871047720.
Healthcare Provider's Profile
| Full Name | Breanna Kelly |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
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| Location | 4026 Birchwood Cv, Decatur, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871047720
- Provider Enumeration Date: 08/09/2016
- Last Update Date: 01/29/2019
Medical Identifiers
Medical identifiers for Breanna Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871047720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | CSW005955 (Georgia) | Secondary |
| 103K00000X | Behavior Analyst | 11833409 (* (Not Available)) | Primary |
| 104100000X | Social Worker | MSW006385 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Breanna Kelly, LCSW
4026 Birchwood Cv,
Decatur, GA 30034-5251
Ph: (813) 361-0596 | Breanna Kelly, LCSW
4026 Birchwood Cv,
Decatur, GA 30034-5251
Ph: (813) 361-0596 |
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