Samrah Kelly

Behavior Technician · Justice, IL

Individual Active NPI

NPI number 1336007178

Practice location

8508 S 88TH Ter Apt 301
Justice, IL 60458-1951
Phone
(779) 703-1050

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NPI record

NPI
1336007178
Entity type
Individual (Type 1)
Enumeration date
January 12, 2026
Last updated
January 12, 2026
Certified
January 12, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — IL

About Samrah Kelly

Samrah Kelly is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 8508 S 88TH Ter Apt 301, Justice, IL 60458-1951. The NPI number 1336007178 was assigned on January 12, 2026 and the record was last updated on January 12, 2026.

Frequently asked questions

What is the NPI number of Samrah Kelly?

The NPI number is 1336007178.

What is the phone number of Samrah Kelly?

The phone number listed for the practice location is (779) 703-1050.

Where is Samrah Kelly located?

8508 S 88TH Ter Apt 301, Justice, IL 60458-1951.

What is the taxonomy code for Samrah Kelly?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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