SOPHIA KELLY (NPI# 1164942587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164942587 |
| Entity Type | Individual |
| Full Name | SOPHIA KELLY |
| Credential | BCBA |
| Practice Address |
15 Saunders Way Ste 900 Westbrook ME 04092-4836 |
| Practice Telephone | (207) 878-9663 |
| Mailing Telephone | 2078789663 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-26596 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBA CERTIFICATION | 1-17-26596 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598390742 | Sophia Jean Kelly | Technician | 700 Pujo St Ste A, Lake Charles, LA 70601-4378 | 2020-03-09 |
| Street Address |
15 SAUNDERS WAY STE 900 |
| City | WESTBROOK |
| State | ME |
| Zip Code | 04092-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598051989 | Abigail Keenan | Psychiatry & Neurology | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2011-06-23 |
| 1295346674 | Victoria Catrett | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2020-08-11 |
| 1588208136 | Emily Ashley | Counselor | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2019-11-06 |
| 1902459068 | Anna Peake Godin | Counselor | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2019-07-18 |
| 1730675943 | Amanda Gibbons | Speech-Language Pathologist | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2018-07-11 |
| 1083100085 | Audrey Schoolcraft | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2018-07-03 |
| 1508359357 | Daniel Frost | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2018-06-07 |
| 1669989539 | Martha Smith | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2018-01-02 |
| 1689180010 | Matthew Thebarge | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2017-12-21 |
| 1679083604 | Jaime Mastrorio | Social Worker | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2017-10-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
| 1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
| 1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
| 1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
| 1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
| 1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
| 1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
| 1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
| Find all providers in zip 04092 | ||||
| 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 |
|---|---|---|---|---|
| 1295346674 | Victoria Catrett | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2020-08-11 |
| 1023586005 | Katherine Anne Sorokin | Behavioral Analyst | 15 Saunders Way, Westbrook, ME 04092-4833 | 2018-11-07 |
| 1083100085 | Audrey Schoolcraft | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2018-07-03 |
| 1508359357 | Daniel Frost | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2018-06-07 |
| 1669989539 | Martha Smith | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2018-01-02 |
| 1689180010 | Matthew Thebarge | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2017-12-21 |
| 1518476233 | Brianna Crocker | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2017-09-26 |
| 1598285900 | Mary Caroline Waters | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2017-06-27 |
| 1770003188 | Nicholas Potts | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2017-06-27 |
| 1972035467 | Karen Coston | Behavioral Analyst | 15 Saunders Way, Suite900, Westbrook, ME 04092-4833 | 2017-04-03 |
| Find all providers in WESTBROOK | ||||
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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.