KATHLEEN MARIE KELLY


Address: 1031 S Crescent Heights Blvd, Los Angeles, CA 90035-2632
Phone: 9253245494

KATHLEEN MARIE KELLY (NPI# 1528328432) 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) 1528328432
Entity Type Individual
Full Name KATHLEEN MARIE KELLY
Credential B.C.B.A
Practice Address 1031 S Crescent Heights Blvd
Los Angeles
CA 90035-2632
Practice Telephone 9253245494
Mailing Telephone 9253245494
Enumeration Date 2012-05-24
Last Update Date 2016-07-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-12-12621 CA Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst 0-12-4466 CA Behavioral Health & Social Service Providers

Other Providers KATHLEEN KELLY

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1295335511 Kathleen Kelly Social Worker 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341 2020-10-27
1699226415 Kathleen Ann Kelly Clinical Medical Laboratory David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 2016-10-17
1033510359 Kathleen P Kelly Licensed Practical Nurse 25 Rogers Pl, Hyde Park, NY 12538-1112 2014-09-05
1730522418 Kathleen Kelly Registered Nurse 319 Middlesex Rd, Buffalo, NY 14216-3140 2013-04-11
1013241512 Kathleen Marie Kelly Psychologist #1670 Calle Georgina Volga, Urb. Reparto De Diego, San Juan, PR 00926-9998 2009-09-30
1174739882 Kathleen Petrie Kelly Physical Therapist 4 Kildare Walk, Rockaway Point, NY 11697-1708 2007-05-16
1073664710 Kathleen Lorraine Kelly Counselor 1070 W. Horizon Ridge Pkwy., Suite 200, Henderson, NV 89012-6019 2007-01-16
1811062839 Kathleen Kelly Nurse Practitioner 55 Fruit Street Yaw 4b, Boston, MA 02114-2696 2006-11-22
1467455147 Kathleen A Kelly Dentist 44 E Mifflin St, Ste 204, Madison, WI 53703-2895 2005-05-24
1295208999 Kathleen Kelly Registered Nurse 41521 W 11 Mile Rd, Novi, MI 48375-1803 2019-01-04

Office Location

Street Address 1031 S CRESCENT HEIGHTS BLVD
City LOS ANGELES
State CA
Zip Code 90035-2632

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871122606 Transformational Yoga, LLC Chiropractor 1649 Robertson Blvd, Los Angeles, CA 90035 2020-04-03
1962061945 Alcott Center for Mental Health Services Community/Behavioral Health 1441-1443 S. Robertson Blvd., Los Angeles, CA 90035 2019-06-12
1124514773 Bahareh Haykani Physician Assistant 1105 S La Peer Dr, Los Angeles, CA 90035 2018-07-06
1700303609 Jisun Lee Specialist/Technologist 1080 S. La Cienega Blvd, #208, Los Angeles, CA 90035 2017-08-23
1407202393 Elham Azarmiazam Chiropractor 1016 South Robertson Blvd., Los Angeles, CA 90035 2016-05-10
1548626369 Esther Levy-bremer Acupuncturist 1411 S. Cardiff Ave., Ca 90035, Los Angeles, CA 90035 2016-01-08
1972992949 Tali Shams Pharmacist 1108 South Lapeer Drive, Los Angeles, CA 90035 2015-01-14
1932598067 Edwin Gromis Orthopaedic Surgery 1122 South Robertson Blvd., Los Angeles, CA 90035 2015-01-13
1437568250 Edwin Gromis M.d. A Prof Corp Orthopaedic Surgery 1122 S. Robertson Blvd Suite 1, Los Angeles, CA 90035 2014-08-06
1073929725 David Javdon Dentist 1125 S. Beverly Dr., Suite #400, Los Angeles, CA 90035 2014-07-02
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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
1356957088 Jacqueline Cottom Behavioral Analyst 1362 S Longwood Ave Apt 4, Los Angeles, CA 90019-2958 2020-09-18
1093326225 Behavioral Analytics LLC Behavioral Analyst 770 S Grand Ave Apt 6049, Los Angeles, CA 90017-3955 2020-08-12
1447860317 Elizabeth Sciutto Behavioral Analyst 2915 S Bronson Ave, Los Angeles, CA 90018-2837 2020-08-05
1639789860 Katharine Ann Martini Behavioral Analyst 417 S Hill St Apt 921, Los Angeles, CA 90013-1776 2020-08-03
1417575689 Vanessa Martinez Behavioral Analyst 11900 W Olympic Blvd Ste 520, Los Angeles, CA 90064-1183 2020-07-13
1437770583 Samantha Porpora Behavioral Analyst 3450 Sawtelle Blvd Apt 352, Los Angeles, CA 90066-2171 2020-04-29
1770118564 Reyna Maleny Amparo Behavioral Analyst 5553 Long Beach Ave, Los Angeles, CA 90058-3817 2020-03-11
1023658572 Dorrey Sproatt Behavioral Analyst 3637 Motor Ave Ste 280, Los Angeles, CA 90034-4884 2020-01-13
1164062139 Luis Abreu Behavioral Analyst 972 Marietta St, Los Angeles, CA 90023-1404 2020-01-08
1346889235 Hannah Chung Behavioral Analyst 1234 Wilshire Blvd Apt 236, Los Angeles, CA 90017-1975 2019-12-25
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Competitor

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City LOS ANGELES
Zip Code 90035

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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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