KELSEY ANN CLARK (NPI# 1063034593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063034593 |
| Entity Type | Individual |
| Full Name | KELSEY ANN CLARK |
| Other Name | MRS. KELSEY ANN CASTILLO |
| Practice Address |
420 S Jones Blvd Las Vegas NV 89107-2658 |
| Practice Telephone | 7025150294 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215489307 | Kelsey Ann Clark | Spec/Tech, Cardiovascular | 13 Indian Ridge Rd, New Milford, CT 06776-4614 | 2016-10-25 |
| 1205193984 | Kelsey Nicole Clark | Counselor | 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 | 2012-04-18 |
| 1174124374 | Kelsey Clark | Social Worker | 1865 N Ridge Rd E, Lorain, OH 44055-3300 | 2020-11-04 |
| 1972102465 | Kelsey Clark | Pharmacist | 1362 W Main St, Whitewater, WI 53190-1504 | 2020-10-26 |
| 1063010312 | Kelsey Leigh-ann Clark | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1914 | 2020-10-09 |
| 1164948337 | Kelsey Anne Clark | Physical Therapy Assistant | 8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019-4630 | 2017-08-18 |
| 1891145520 | Kelsey Clark | Occupational Therapist | 721 N Juniata St, Hollidaysburg, PA 16648-1455 | 2016-06-14 |
| 1144510629 | Kelsey Nichole Clark | Occupational Therapist | 165 Plaza Ct, Kingwood, WV 26537-1653 | 2011-04-18 |
| 1679870604 | Kelsey Lynn Clark | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-02-28 |
| Street Address |
420 S JONES BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077541 | Akeela Brown | Case Management | 420 S Jones Blvd, Las Vegas, NV 89107-2658 | 2019-08-02 |
| 1356966873 | Purpose Driven Health Systems LLC | Community/Behavioral Health | 420 S Jones Blvd, Las Vegas, NV 89107-2658 | 2020-06-10 |
| 1699398123 | Sindi Williams | Counselor | 420 S Jones Blvd, Las Vegas, NV 89107-2658 | 2020-05-19 |
| 1104471580 | Purpose Driven Behavioral Health, LLC | Community/Behavioral Health | 420 S Jones Blvd, Las Vegas, NV 89107-2658 | 2019-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| 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 |
|---|---|---|---|---|
| 1740889963 | Acacia Ravon Mccrea | Behavioral Analyst | 7351 W Charleston Blvd Unit 102, Las Vegas, NV 89117-1502 | 2020-10-19 |
| 1821696287 | Marilyn Hutcherson | Behavioral Analyst | 4185 Vegas Valley Dr Ste B, Las Vegas, NV 89121-2522 | 2020-10-16 |
| 1952909608 | Lissette Marie Saenz | Behavioral Analyst | 9700 W Sunset Rd Apt 2009, Las Vegas, NV 89148-4799 | 2020-10-14 |
| 1134727910 | Songbird Health Nv LLC | Behavioral Analyst | 5940 S Rainbow Blvd Ste 400, Las Vegas, NV 89118-2507 | 2020-10-13 |
| 1548867955 | Nv Mc Sprout 1 LLC | Behavioral Analyst | 8465 W Sahara Ave Ste 111, Las Vegas, NV 89117-8902 | 2020-10-08 |
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1215544317 | Specialized Care Services LLC | Behavioral Analyst | 5615 Cameron St Ste 9, Las Vegas, NV 89118-2233 | 2020-09-23 |
| 1629681291 | A Wright Mind, LLC | Behavioral Analyst | 1810 E Sahara Ave # 113, Las Vegas, NV 89104-3707 | 2020-08-25 |
| 1861000184 | Rhonda Renee Murphy | Behavioral Analyst | 4664 Sand Creek Ave Apt A, Las Vegas, NV 89103-1535 | 2020-07-22 |
| 1801413539 | Mattie Simpson | Behavioral Analyst | 2500 W Washington Ave Bldg B, Las Vegas, NV 89106-3731 | 2020-06-29 |
| Find all providers in LAS VEGAS | ||||
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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.