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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KELLY BOURDIERD

Active

MS. KELLY BOURDIERD is a Behavioral Health Technician healthcare provider located in NEW YORK, New York. NPI 1689477390 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health Technician · NEW YORK, NY

Registration Details

NPI Number
1689477390
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2025 (1.1980801493962 yrs)
Last Updated
Mar 28, 2025

Practice Information

Address
526 W 147TH ST APT 53
NEW YORK, NY, 100314524
Browse NY providers · Browse ZIP 10031
Phone
6464982397
Primary Specialty
Behavioral Health Technician
374700000X

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Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.