IndividualActive
Kelsey Gannon
NPI 1992402143 · Behavior Technician · Brookpark, OH
Kelsey Gannon is a Behavior Technician provider in Brookpark, OH (NPI 1992402143).
Provider details
- NPI number
- 1992402143
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
5555 Smith Rd
Brookpark, OH 44142-2028
Phone: (216) 453-1112
Street-level locationGet directions
Mailing address
5445 Smith Rd
Brookpark, OH 44142-2026
Registry dates
- Enumerated
- 2023-02-08
- Last updated
- 2023-02-08
- Certified
- 2023-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.