| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLY ANN PINNOCK | 1699552083 | 2023-09-11 |
Kelly Ann Pinnock is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1699552083. Registration indicates Kelly Ann Pinnock is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Kelly Ann Pinnock |
| Practice Office Address | 1944 EMBARCADERO OAKLAND, CA US |
| Practice Office Telephone | 3039898169 |
| Mailing Address | 1944 EMBARCADERO OAKLAND, CA 946065213 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |