MRS. KELLI KETNER RUSSELL (NPI# 1023511383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023511383 |
| Entity Type | Individual |
| Full Name | MRS. KELLI KETNER RUSSELL |
| Other Name | KELLI MICHELLE KETNER |
| Credential | BCBA |
| Practice Address |
4400 E Evans Ave Denver CO 80222-5023 |
| Practice Telephone | 9704338339 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 12043059 | CO | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
4400 E EVANS AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80222-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174989354 | Emily White | Behavioral Analyst | 4400 E Evans Ave, Denver, CO 80222-5023 | 2016-01-04 |
| 1841811361 | Alyssa Diane Horton | Specialist | 4400 E Evans Ave, Denver, CO 80222-5023 | 2020-05-06 |
| 1295367423 | Evoke Behavioral Health LLC | Clinic/Center | 4400 E Evans Ave, Denver, CO 80222-5023 | 2020-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625389 | Vi-thuy Vo | Student in an Organized Health Care Education/Training Program | 4141 E Dickenson Pl # 264b, Denver, CO 80222 | 2019-08-19 |
| 1255827143 | Megan Whitehead | Nurse Practitioner | 2696 S Colorado Blvd Ste 110, Denver, CO 80222 | 2018-07-03 |
| 1255859732 | Kathleen Goldman | Occupational Therapist | 6343 E Girard Place, Unit 442, Denver, CO 80222 | 2017-09-05 |
| 1891213435 | Caron Cottman | Counselor | Maria Droste Counseling Center 1355 S Colorado Blvd., Denver, CO 80222 | 2017-09-04 |
| 1154846939 | Colorado Pain Practice, Pllc | Anesthesiology | 2696 S Colorado Blvd Ste 100, Denver, CO 80222 | 2017-08-14 |
| 1831610021 | Danielle V Jones | Counselor | 4141 E. Dickerson Place, Denver, CO 80222 | 2017-06-28 |
| 1629508247 | Capable Conversations, LLC | Speech-Language Pathologist | 3451 S Elm Street, Denver, CO 80222 | 2017-06-15 |
| 1235672031 | Julie Reichenberger, Ma, Lpc, Pllc | Counselor | 1780 South Bellaire Street, Suite 485, Denver, CO 80222 | 2016-11-28 |
| 1346797925 | Encompass Home Health of Colorado, LLC | Hospice Care, Community Based | 1355 S Colorado Blvd Ste 604, Denver, CO 80222 | 2016-09-01 |
| 1124574363 | Shannon Barfield | Case Manager/Care Coordinator | Mental Health Center of Denver 4141 E. Dickenson Pl, Denver, CO 80222 | 2016-08-28 |
| Find all providers in zip 80222 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605567 | Songbird Health Co LLC | Behavioral Analyst | 1624 Market St Ste 226 #17739, Denver, CO 80202-1559 | 2020-10-07 |
| 1275148959 | Marcus Vincent Wade | Behavioral Analyst | 1335 Lipan St, Denver, CO 80204-2530 | 2020-09-10 |
| 1730799388 | Rian Ellinwood Drexler | Behavioral Analyst | 1600 Broadway Ste 1606, Denver, CO 80202-4927 | 2020-08-07 |
| 1528677663 | Hashtag Therapy Behavior Solutions Inc | Behavioral Analyst | 3063 Brighton Blvd Unit 644, Denver, CO 80216-5291 | 2020-07-24 |
| 1922632306 | Michaela Kathryn Strandell | Behavioral Analyst | 2525 18th St Apt 559, Denver, CO 80211-6439 | 2020-02-25 |
| 1063042240 | Katelin Robertson | Behavioral Analyst | 3405 N Downing St, Denver, CO 80205-3981 | 2020-01-16 |
| 1629612064 | Nicole Rudolph | Behavioral Analyst | 3570 E 12th Ave Ste 201, Denver, CO 80206-3434 | 2019-10-29 |
| 1073168548 | Dashawna Jackson | Behavioral Analyst | 5565 Kalispell St, Denver, CO 80239-7011 | 2019-08-01 |
| 1689230229 | Kelly Rose Doyle | Behavioral Analyst | 1950 N Logan St Apt 409, Denver, CO 80203-1175 | 2019-05-18 |
| 1467919647 | Anna Camp Martinez | Behavioral Analyst | 2270 S Emerson St, Denver, CO 80210-4507 | 2019-02-25 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.