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KELLY JO PREMO M.S. CCC SLP
NPI 1891117990
Early Intervention Provider Agency in Ballston Lake, NY

Active since January 09, 2014
118 WESTSIDE DR, BALLSTON LAKE, NY 12019(518) 424-7971 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2020, Mar 7, 2020 (2 updates tracked since 2020).

About Kelly Jo Premo M.s. Ccc Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY JO PREMO M.S. CCC SLP (NPI 1891117990) is an individual early intervention provider agency provider in Ballston Lake, New York, licensed in New York (022776-1) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1891117990
Entity TypeIndividualFemale
Primary Taxonomy252Y00000X
Provider Legal NameKELLY JO PREMOCredential: M.S. CCC SLP
Location Address118 WESTSIDE DRBallston Lake, NY 12019-2028
Mailing Address118 Westside DrBallston Lake, NY 12019-2028 · (518) 424-7971
Phone(518) 424-7971
Sole ProprietorYes
Enumeration DateJanuary 9, 2014
Last NPPES UpdateApril 14, 20202 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1891117990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies
Taxonomy Code252Y00000X
License✔ Licensed in NY · 022776-1
Definition
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 022776-1 (NY)
118 WESTSIDE DR, Ballston Lake, NY 12019
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Other Names 1

Former Name (1)Kelly Jo Wright

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Premo's NPI number?

The NPI number for Kelly Premo is 1891117990. It was assigned to this individual provider in the NPPES registry on January 9, 2014. The provider is also known as Kelly Jo Wright.

Where is Kelly Premo located?

Kelly Premo practices at 118 Westside Dr, Ballston Lake, NY 12019. The listed phone number is (518) 424-7971.

What is Kelly Premo's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Premo was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.