KELLY S ANDERSON (NPI# 1063077147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063077147 |
| Entity Type | Individual |
| Full Name | KELLY S ANDERSON |
| Practice Address |
225 Eagle St Anchorage AK 99501-2626 |
| Practice Telephone | 9077299550 |
| Practice Fax Number | 9072786631 |
| Mailing Telephone | 9077299550 |
| Mailing Fax Number | 9072786631 |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2019-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234710 | Kelly Mankin Anderson | Audiologist | 135 Nw 17th St, Bend, OR 97703-2420 | 2020-04-22 |
| 1184255408 | Kelly Marie Anderson | Registered Nurse | 10600 W 500 N, Deputy, IN 47230-8999 | 2020-01-27 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1457858300 | Kelly R Anderson | Nurse Practitioner | 10120 W Broad St Ste F, Glen Allen, VA 23060-6709 | 2018-04-08 |
| 1538578430 | Kelly Elizabeth Anderson | Student in an Organized Health Care Education/Training Program | 1512 Spreckels St, Honolulu, HI 96822-4658 | 2014-08-05 |
| 1528394681 | Kelly Elizabeth Anderson | Physical Therapist | 1742 Commonwealth Ave, Apt 2, Brighton, MA 02135 | 2009-10-26 |
| 1568694115 | Kelly L Anderson | Physical Therapist | 1325 Spring St., Greenwood, SC 29649 | 2009-08-17 |
| 1255586475 | Kelly Marie Anderson | Nurse's Aide | 1720 17th Ct, Jupiter, FL 33477-9089 | 2008-12-02 |
| 1114056637 | Kelly L Anderson | Social Worker | 655 E. Main St, Children's Hospital Guidance Center, Columbus, OH 43205 | 2007-03-02 |
| 1144828658 | Kelly Herbert Anderson | Social Worker | 220 N Ballston Ave, Scotia, NY 12302-2533 | 2020-10-16 |
| Street Address |
225 EAGLE ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99501-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144274986 | Southcentral Foundation | Clinic/Center | 225 Eagle St, Anchorage, AK 99501-2626 | 2006-05-19 |
| 1033775663 | Bonnie Jean Hughes | Counselor | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-20 |
| 1003473604 | Terra Marie Gallant | Behavior Technician | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-20 |
| 1487210043 | Chris George | Behavior Technician | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-18 |
| 1780240515 | Carol Jane Rook | Registered Nurse | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-16 |
| 1477119345 | Aaron David Bass | Behavior Technician | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-15 |
| 1528624491 | Abdou Kemo Marenah | Behavior Technician | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-15 |
| 1962068023 | Molly Katherine Jacobson | Behavior Technician | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-14 |
| 1154987428 | Ren Lynn Bell | Behavior Technician | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-13 |
| 1548826936 | Erika Irene Kalilikane | Behavior Technician | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093304 | Ryan Garcia | Military Health Care Provider | 673d Med Group, Jber, AK 99501 | 2020-11-02 |
| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 1740841170 | Christina Lynne Arent Cook | Registered Nurse | 8000 West End Rd, Anchorage, AK 99501 | 2019-06-26 |
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1306312574 | Patricia Estella Gould | Marriage & Family Therapist | 731 N St, Anchorage, AK 99501 | 2018-10-15 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1871952705 | Warren Anderson | Massage Therapist | 737 West 5th Avenue Suite 202, Anchorage, AK 99501 | 2016-02-20 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| Find all providers in zip 99501 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801422142 | Jacqueline Tarner | Behavior Technician | 13030 Brandon St, Anchorage, AK 99515-3536 | 2020-03-18 |
| 1134770035 | Samantha Jones | Behavior Technician | 1153 E 72nd Ave, Anchorage, AK 99518-2369 | 2019-09-23 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1316509805 | Kelly J Ross | Behavior Technician | 3819 Remington Cir, Anchorage, AK 99507-2888 | 2019-07-03 |
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1669038493 | Sharone Elaine Thornton | Behavior Technician | 8731 Flamingo Dr, Anchorage, AK 99502-5423 | 2019-05-16 |
| 1306402789 | Benjamin Fielder | Behavior Technician | 6045 E 43rd Ave, Anchorage, AK 99504-4322 | 2019-05-11 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in ANCHORAGE | ||||
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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.