KELLY MCKINNON & ASSOCIATES, INC. (NPI# 1245579374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245579374 |
| Entity Type | Organization |
| Organization Name | KELLY MCKINNON & ASSOCIATES, INC. |
| Practice Address |
27452 Calle Arroyo San Juan Capistrano CA 92675-2748 |
| Practice Telephone | 9494817630 |
| Practice Fax Number | 9494817931 |
| Mailing Telephone | 9494817630 |
| Mailing Fax Number | 9494817931 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | KELLY MCKINNON (OWNER) |
| Authorized Official Telephone | 9494817630 |
| Authorized Official Credential | MA, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
27452 CALLE ARROYO |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235406703 | Cherie Francis | Occupational Therapist | 27452 Calle Arroyo, San Juan Capistrano, CA 92675-2748 | 2011-11-28 |
| 1386984136 | Kelly Mckinnon | Behavioral Analyst | 27452 Calle Arroyo, San Juan Capistrano, CA 92675-2748 | 2013-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
| 1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
| 1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
| 1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
| 1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
| 1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
| Find all providers in zip 92675 | ||||
| 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 |
|---|---|---|---|---|
| 1427691260 | John Strother Mcglinn Iv | Behavioral Analyst | 30991 Via Estenaga, San Juan Capistrano, CA 92675-2933 | 2019-10-24 |
| 1518340934 | Samantha Plummer | Behavioral Analyst | 27782 Camino Santo Domingo, San Juan Capistrano, CA 92675-3314 | 2015-07-02 |
| 1427315639 | Sarah Elizabeth Pelangka | Behavioral Analyst | 26468 Paseo Del Mar, Apt. D, San Juan Capistrano, CA 92675-5112 | 2012-04-12 |
| 1326310350 | Melaura Andree Erickson Tomaino | Behavioral Analyst | 29122 Rancho Viejo Rd Ste 206, San Juan Capistrano, CA 92675-1039 | 2012-02-07 |
| 1306136635 | Renee Annette Wulff-westerheide | Behavioral Analyst | 29122 Rancho Viejo Rd, #204, San Juan Capistrano, CA 92675-1018 | 2011-04-07 |
| 1245793199 | Paige Nicole Corbett | Behavioral Analyst | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-04-08 |
| 1811499957 | Shelby Lynn Norberg | Behavioral Analyst | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2018-03-05 |
| 1104327329 | Danielle Livier Monteroso | Behavioral Analyst | 27127 Calle Arroyo, San Juan Capistrano, CA 92675-2765 | 2018-02-22 |
| 1538687355 | Selena Rose Emond | Behavioral Analyst | 29122 Rancho Viejo Rd Ste 206, San Juan Capistrano, CA 92675-1039 | 2017-08-31 |
| 1356886329 | Amara Castro | Behavioral Analyst | 27127 Calle Arroyo, Suite 1921, San Juan Capistrano, CA 92675-2765 | 2016-12-30 |
| Find all providers in SAN JUAN CAPISTRANO | ||||
| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
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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.