DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLY THORELL

MEDICARE: KELLY THORELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1396248563
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY THORELL
Provider Business Mailing Address
First Line : 1328 BLUE OAKS BLVD STE 300
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-7031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1358 BLUE OAKS BLVD STE 300
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-7040
Country : US
Telephone Number : 916-676-0488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2018
Last Update Date : 03/14/2018

Similar Medicare Providers

1730013806 — MACKENZIE FOX
Practice Location Address:
1358 BLUE OAKS BLVD STE 300
ROSEVILLE, CA
95678-7040
Practice Phone: 916-676-0488
Practice Fax:
1861994501 — ROBYN LYNETTE LAZAR
Practice Location Address:
1358 BLUE OAKS BLVD STE 300
ROSEVILLE, CA
95678-7040
Practice Phone: 916-676-0488
Practice Fax:
1871096586 — SHANNON LEVINE
Practice Location Address:
1358 BLUE OAKS BLVD STE 300
ROSEVILLE, CA
95678-7040
Practice Phone: 916-646-0488
Practice Fax:
1780187104 — JESSICA LORRAINE JENO M.A., BCBA
Practice Location Address:
1358 BLUE OAKS BLVD STE 300
ROSEVILLE, CA
95678-7040
Practice Phone: 916-676-0488
Practice Fax:
1629571021 — KYLIE BREANE MCCORD
Practice Location Address:
1358 BLUE OAKS BLVD STE 300
ROSEVILLE, CA
95678-7040
Practice Phone: 916-676-0488
Practice Fax:
1962905232 — MADELINE ROSE WHITE
Practice Location Address:
1358 BLUE OAKS BLVD STE 300
ROSEVILLE, CA
95678-7040
Practice Phone: 916-676-0488
Practice Fax:

Directions to “ KELLY THORELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.