JILLIAN KELLY


Address: 835 Bloomfield Ave, Windsor, CT 06095-2363
Phone: 8604139538

JILLIAN KELLY (NPI# 1326667049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326667049
Entity Type Individual
Full Name JILLIAN KELLY
Practice Address 835 Bloomfield Ave
Windsor
CT 06095-2363
Mailing Address 166 Woodruff Ave
Watertown
CT 06795-2548
Practice Telephone 8604139538
Mailing Telephone 2035251210
Enumeration Date 2020-04-13
Last Update Date 2020-04-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 911 CT Behavioral Health & Social Service Providers

Other Providers JILLIAN KELLY

NPI Name Taxonomy Address Enumeration
1023456449 Jillian Elizabeth Kelly Physician Assistant 4290 William Flynn Highway, Suite 205, Allison Park, PA 15101 2013-06-07
1649753898 Jillian Kelly Nurse Practitioner 905 Hanshaw Rd Ste C, Ithaca, NY 14850-1549 2018-09-13
1215444732 Jillian Jane Kelly Social Worker 3201 S Tamarac Dr, Denver, CO 80231-4360 2018-01-05

Office Location

Street Address 835 BLOOMFIELD AVE
City WINDSOR
State CT
Zip Code 06095-2363

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477588002 Connecticut Heart Physicians, Inc. Internal Medicine 835 Bloomfield Ave, Windsor, CT 06095-2363 2006-07-12
1780221747 Dana Elizabeth Prifti Behavioral Analyst 835 Bloomfield Ave, Windsor, CT 06095-2363 2019-12-09
1992368302 Taylor Nardi Behavioral Analyst 835 Bloomfield Ave, Windsor, CT 06095-2363 2019-04-22
1922574243 Philip J. Hunt Behavioral Analyst 835 Bloomfield Ave, Windsor, CT 06095-2363 2018-10-15
1275024598 Erin Costa Behavioral Analyst 835 Bloomfield Ave, Windsor, CT 06095-2363 2018-05-22
1235626136 Jennifer Dawid Behavioral Analyst 835 Bloomfield Ave, Windsor, CT 06095-2363 2018-04-16
1093219982 Creative Interventions, LLC Community/Behavioral Health 835 Bloomfield Ave, Windsor, CT 06095-2363 2018-03-23
1295235885 Margaret Fitch Behavioral Analyst 835 Bloomfield Ave, Windsor, CT 06095-2363 2018-02-20
1942700752 Heather Marie Connolly Behavioral Analyst 835 Bloomfield Ave, Windsor, CT 06095-2363 2018-02-19
1164922993 Julie Lazzaris Behavioral Analyst 835 Bloomfield Ave, Windsor, CT 06095-2363 2018-02-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285255992 Dnd Group of Companies LLC Psychologist 204 Old Village Cir, Windsor, CT 06095 2020-05-04
1811467442 Joseph C Gaetani Jr. Specialist 340 Broad Street Suite 320, Windsor, CT 06095 2018-11-27
1447629043 Brittany Higginbotham Marriage & Family Therapist 347 Park Avenue, Windsor, CT 06095 2015-09-24
1457737454 Eric Han Dentist 697 Poquonock Ave, Windsor, CT 06095 2015-08-03
1265780894 Annetta Ruth Troche Nurse Practitioner 22 Parkwood Drive, Windsor, CT 06095 2012-08-29
1821234006 Milna Rosario Social Worker 6 Poquonock Avenue, Windsor, CT 06095 2008-12-18
1962686824 Kimberly Ju Kim Pediatrics 820 C Prospect Hill Road, Windsor, CT 06095 2007-12-27
1972708758 Price Chopper Inc Pharmacy 675 Poquoncock Ave, Windsor, CT 06095 2007-06-20
1396870358 Occupational Health Centers of The Southwest, P.a., P.C. Clinic/Center 1080 Day Hill Road, Windsor, CT 06095 2007-02-22
1841342094 Thomas F. Reif Psychologist 32 Maple Avenue, Windsor, CT 06095 2007-01-17
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972167286 Kathleen Rose Satalino Behavioral Analyst 35 Bloomfield Ave, Windsor, CT 06095-2807 2019-04-23
1679045868 Christina M Kiley Behavioral Analyst 885 Bloomfield Ave, Windsor, CT 06095-2363 2018-12-28
1215450069 Jenny Ann-marie Weir-roberts Behavioral Analyst 63 Allen St, Windsor, CT 06095-4403 2017-07-24
1760853667 Katherine Horrell Behavioral Analyst 4649 Firehawk Ct, Windsor, CO 80550-2598 2015-10-18
1437529609 Colorado Children's Therapy Behavioral Analyst 100 Whitney Ct, Windsor, CO 80550-6132 2015-10-01
1265040414 Gabrielle Betancourt Behavioral Analyst 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 2020-07-14
1790319556 Abigail Lehne Kruger Howard Behavioral Analyst 147 Main St, Windsor, VT 05089-1338 2020-03-02
1740811959 Renee Depalo Behavioral Analyst 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 2020-01-28
1144869918 Jennifer Elizabeth Rist Behavioral Analyst 147 Main St, Windsor, VT 05089-1338 2019-12-27
1780221747 Dana Elizabeth Prifti Behavioral Analyst 835 Bloomfield Ave, Windsor, CT 06095-2363 2019-12-09
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Competitor

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City WINDSOR
Zip Code 06095

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Dataset Information

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.

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