IndividualActive
Autumn Kelly
NPI 1245728419 · Behavior Technician · Red Wing, MN
Provider details
- NPI number
- 1245728419
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4911 Learning Ln
Red Wing, MN 55066-4533
Phone: (651) 360-3202
Approximate (ZIP-level) locationGet directions
Mailing address
4911 Learning Ln
Red Wing, MN 55066-4533
Registry dates
- Enumerated
- 2018-04-24
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.