KEELY STEVENSON (NPI# 1497036594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497036594 |
| Entity Type | Individual |
| Full Name | KEELY STEVENSON |
| Other Name | KEELY HAGAN |
| Credential | M.ED., BCBA |
| Practice Address |
400 E Royal Ln Bldg 3 Suite 290 Irving TX 75039-3540 |
| Practice Telephone | 8558326727 |
| Practice Fax Number | 7726759100 |
| Mailing Telephone | 8558326727 |
| Mailing Fax Number | 7726759100 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-08-4139 | TX | Behavioral Health & Social Service Providers |
| Street Address |
400 E ROYAL LN BLDG 3 SUITE 290 |
| City | IRVING |
| State | TX |
| Zip Code | 75039-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223919 | Hayley Hoffman | Behavior Technician | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-10-22 |
| 1689281800 | Sanjog Lamichhane | Behavior Technician | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-09-30 |
| 1225653637 | Ziyah Compton | Technician, Other | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-06-11 |
| 1841813557 | Romaine Ramazani | Technician, Other | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-05-28 |
| 1710509286 | Kayleigh Carpenter | Behavioral Analyst | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-05-07 |
| 1669093621 | Heather Diamond | Behavior Technician | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-04-30 |
| 1578183687 | Ashley Stroye | Technician, Other | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-04-17 |
| 1942829908 | Jershayla Che're Johnson | Behavior Technician | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-04-10 |
| 1467088575 | Carol Carter | Assistant Behavior Analyst | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2020-03-20 |
| 1093358806 | Kelly Straub | Technician, Other | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2019-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1912537127 | Family Pharmacy @ Las Colinas LLC | Pharmacy | 6555 North State Hwy 161, Suite B, Irving, TX 75039 | 2020-01-16 |
| 1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1932753894 | Jane Spagnoletti Niemtschk | Pharmacist | 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 | 2019-07-30 |
| 1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
| 1104301738 | Charity Maashe | Technician, Other | 400 E. Royal Lane, Bld 3, Ste 290, Irving, TX 75039 | 2018-09-28 |
| 1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
| 1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
| 1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
| Find all providers in zip 75039 | ||||
| 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 |
|---|---|---|---|---|
| 1275000812 | Erica Sokoya | Behavioral Analyst | 400 E Royal Ln Bldg Suite290, Irving, TX 75039-3540 | 2018-11-01 |
| 1851895254 | Rachael Bradley | Behavioral Analyst | 400 E Royal Ln Bldg Ste 290, Irving, TX 75039-3540 | 2018-03-20 |
| 1356795116 | Hafsa Khan | Behavioral Analyst | 3649 W Walnut Hill Ln, Apt 3110, Irving, TX 75038-4043 | 2016-04-19 |
| 1326413014 | Vivien Simmons | Behavioral Analyst | 400 E. Royal Ln., Bldg 3, Ste 290, Irving, TX 75039 | 2015-12-06 |
| 1669860490 | Paige Oliver | Behavioral Analyst | 3100 Premier Dr Ste 243, Irving, TX 75063 | 2015-01-01 |
| 1265776850 | Jill Anjanette Wooten | Behavioral Analyst | 6301 Campus Circle Dr E Ste 100a, Irving, TX 75063-2705 | 2012-11-20 |
| 1972876126 | Rachael A Herrera | Behavioral Analyst | 3100 Premier Dr Ste 234, Irving, TX 75063 | 2012-02-20 |
| 1578849006 | Erica Hess Nolan | Behavioral Analyst | 400 E Royal Ln, Irving, TX 75039-3540 | 2011-10-28 |
| 1689983033 | Sara Marie Weinkauf | Behavioral Analyst | 1018 San Jacinto Dr, Apt 1535, Irving, TX 75063-8221 | 2010-10-04 |
| 1831413533 | Tracy Pierce Bender | Behavioral Analyst | 7801 Mesquite Bend Dr Ste 105, Irving, TX 75063-6043 | 2010-03-24 |
| Find all providers in IRVING | ||||
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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.