KELLY JEAN GRAHAM (NPI# 1821410309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821410309 |
| Entity Type | Individual |
| Full Name | KELLY JEAN GRAHAM |
| Practice Address |
780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 |
| Mailing Address |
500 Fairway Dr Set 102 Deerfield Beach FL 33441 |
| Practice Telephone | 7579690514 |
| Mailing Telephone | 8888809270 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0133000391 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Fairway Dr, Set 102, Deerfield Beach, FL 33441 | 8888809270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134669682 | Kelly Graham | Specialist/Technologist | 601 Custis Rd, Glenside, PA 19038-2013 | 2017-03-02 |
| 1649446774 | Kelly Ann Graham | Occupational Therapist | 161 Se 5th Ct, Pompano Beach, FL 33060-7164 | 2008-05-08 |
| 1447239629 | Kelly Leigh Graham | Optometrist | 113 N Plaza Ct, Van Buren, AR 72956-2269 | 2006-01-16 |
| 1396258232 | Kelly Marie Graham | Counselor | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2017-11-14 |
| 1720530629 | Kelly Graham | Nurse Practitioner | 2075 Glenn Mitchell Dr, Suite 500, Virginia Beach, VA 23456-0179 | 2016-10-26 |
| 1780031625 | Kelly Ann Graham | Physical Therapy Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2016-05-20 |
| 1174915862 | Kelly Graham | Counselor | 5648 Friendship Ave, Pittsburgh, PA 15206-3610 | 2015-03-04 |
| 1750783981 | Kelly Graham | Speech-Language Pathologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2014-09-18 |
| 1417369240 | Kelly Graham | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2014-05-28 |
| 1588093157 | Kelly Graham | Physician Assistant | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2013-11-05 |
| Street Address |
780 LYNNHAVEN PKWY STE 400 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-7332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386917409 | Megan Wolfe | Behavioral Analyst | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2012-02-21 |
| 1114527389 | Taylor Suarez | Behavior Technician | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2020-10-27 |
| 1023617586 | Riana Thea Gillis | Behavior Technician | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2020-10-25 |
| 1558969063 | Alyssa Kay Stirrup | Behavior Technician | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2020-10-16 |
| 1306443825 | Heidi Lynn Johnson | Behavior Technician | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2020-10-07 |
| 1336746494 | Alexandra Douglas | Behavior Technician | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2020-10-01 |
| 1457968901 | Karla Kirby | Driver | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2020-09-29 |
| 1861009565 | Amanda Griffin | Behavior Technician | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2020-09-26 |
| 1033725296 | Kristina Nicole Herrmann | Behavior Technician | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2020-09-22 |
| 1306452628 | Sophia Henry | Behavior Technician | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2020-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| 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 |
|---|---|---|---|---|
| 1891341905 | Chad Honeycutt | Behavioral Analyst | 780 Lynnhaven Pkwy Ste 370, Virginia Beach, VA 23452-7353 | 2019-08-14 |
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1992362297 | Margaret Jones | Behavioral Analyst | 989 Kelso Ct, Virginia Beach, VA 23464-3054 | 2019-05-22 |
| 1861970915 | Lorraine Bachelor Richardson | Behavioral Analyst | 4565 Totteridge Ln, Virginia Beach, VA 23462-7771 | 2018-07-31 |
| 1629574991 | Rachel Trail | Behavioral Analyst | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2018-04-04 |
| 1750885851 | Kimberly Rhodes | Behavioral Analyst | 3904 Regal Ct, Virginia Beach, VA 23452-3824 | 2018-03-22 |
| 1275049892 | Stephanie M. Hadley | Behavioral Analyst | 760 Lynnhaven Pkwy, Virginia Beach, VA 23452-7325 | 2017-12-19 |
| 1710491360 | Patricia Sheridan Murray | Behavioral Analyst | 801 High Point Ave, Virginia Beach, VA 23451-4707 | 2017-11-18 |
| 1629588298 | Samantha Byrnes | Behavioral Analyst | 416 Rennie Ct, Virginia Beach, VA 23454-3946 | 2017-10-09 |
| 1588189831 | Cassandra Jones | Behavioral Analyst | 5914 Appleton Ct, Virginia Beach, VA 23464-4914 | 2017-08-08 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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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.