Healthcare Provider Details

I. General information

NPI: 1861734857
Provider Name (Legal Business Name): KELLY ADAMS-DENSON MA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2013
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 COLLEGE RD STE 103
DOVER DE
19904-6506
US

IV. Provider business mailing address

583 SHOEMAKER RD SUITE 230
KING OF PRUSSIA PA
19406-4201
US

V. Phone/Fax

Practice location:
  • Phone: 484-681-2170
  • Fax:
Mailing address:
  • Phone: 484-324-8307
  • Fax: 484-320-8307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: