MRS. KELLY ELIZABETH LARSON


Address: 1025 E 54th St, Indianapolis, IN 46220-3219
Phone: 3178155501

MRS. KELLY ELIZABETH LARSON (NPI# 1144691551) 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) 1144691551
Entity Type Individual
Full Name MRS. KELLY ELIZABETH LARSON
Credential BCABA
Practice Address 1025 E 54th St
Indianapolis
IN 46220-3219
Practice Telephone 3178155501
Mailing Telephone 3178155501
Enumeration Date 2015-10-12
Last Update Date 2015-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 0-15-6705 IN Behavioral Health & Social Service Providers

Other Providers KELLY LARSON

NPI Name Taxonomy Address Enumeration
1386055168 Kelly Larson Case Manager/Care Coordinator 6809 Bebe Ct., Louisville, KY 40219 2014-05-14
1124442595 Kelly Larson Massage Therapist 11 Spokane St Ste 202, Wenatchee, WA 98801-6132 2014-02-06
1619274362 Kelly A Larson Massage Therapist 225 Maxwell Ave, Port Townsend, WA 98368-9488 2011-02-15
1346310414 Kelly James Larson Dentist 8086 E Florentine Rd, Prescott Valley, AZ 86314-9422 2006-11-08
1023191442 Kelly Suzanne Larson Family Medicine 700 Lily Rd Se, Olympia, WA 98503 2006-10-21
1184282212 Kelly Larson Assistant Behavior Analyst 3504 Commercial Ave, Northbrook, IL 60062-1821 2019-06-04
1891101606 Kelly Larson Counselor 7907 Ostrow St, San Diego, CA 92111-3635 2014-07-01
1528190998 Kelly Larson Physical Therapy Assistant 1301 15th Ave W, Williston, ND 58801-3821 2007-03-12
1760512438 Kelly Marie Larson Physical Therapist 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 2007-03-06
1548301161 Kelly Larson Speech-Language Pathologist 701 W 6th St, Grafton, ND 58237-1379 2007-02-08

Office Location

Street Address 1025 E 54TH ST
City INDIANAPOLIS
State IN
Zip Code 46220-3219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114285855 Bierman Aba Inc. Clinic/Center 1025 E 54th St, Indianapolis, IN 46220-3219 2012-05-01
1760903371 Ashlee Cullman Assistant Behavior Analyst 1025 E 54th St, Indianapolis, IN 46220-3219 2017-07-05
1376098087 Michell Sukta Behavioral Analyst 1025 E 54th St, Indianapolis, IN 46220-3219 2016-08-23
1669927372 Leigh Ann Hoagland Behavioral Analyst 1025 E 54th St, Indianapolis, IN 46220-3219 2016-08-23
1669824223 Cary Mark Yorn Behavioral Analyst 1025 E 54th St, Indianapolis, IN 46220-3219 2016-07-07
1912359589 Marysa Rousseau Behavioral Analyst 1025 E 54th St, Indianapolis, IN 46220-3219 2016-07-07
1215387147 Amy Beltz Behavioral Analyst 1025 E 54th St, Indianapolis, IN 46220-3219 2016-06-22
1124473871 Laura Johns Behavioral Analyst 1025 E 54th St, Indianapolis, IN 46220-3219 2016-05-02
1295180941 Seneca Tonti Behavioral Analyst 1025 E 54th St, Indianapolis, IN 46220-3219 2016-05-02
1275987687 Hayley Whisler Behavioral Analyst 1025 E 54th St, Indianapolis, IN 46220-3219 2016-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184255168 Know The Drill, LLC Dentist 6284 Rucker Road, Suite G, Indianapolis, IN 46220 2020-01-29
1902361017 Stephanie Jean Tellus Physical Therapist 5620 Carvel Ave, Indianapolis, IN 46220 2019-02-02
1861972879 Ashley M Pondexter Counselor 820 E 64th St, Indianapolis, IN 46220 2018-08-19
1649766403 Amy Yonan Social Worker 3830 Rue Delacroix, Indianapolis, IN 46220 2018-07-05
1295226066 Royal Comfort Home Care In Home Supportive Care 2804 55th Pl Ste K, Indianapolis, IN 46220 2018-05-28
1104322148 Jessica Lynn Neidlinger Counselor 819 E 64th St Ste 220, Indianapolis, IN 46220 2018-03-30
1497273494 Squareone Wellness Nurse Practitioner 5422 N Keystone Ave, Indianapolis, IN 46220 2017-08-30
1356866834 Andrea Elaine Tennancour Nurse Practitioner My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 2017-08-07
1346762283 Nicole Shields Specialist/Technologist 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 2017-07-12
1972033389 Laurie Budlong-morse Marriage & Family Therapist 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 2017-06-18
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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
1184223075 Hope Transitional Services LLC Behavioral Analyst 10737 Jimmy Lake Dr, Indianapolis, IN 46239 2020-10-21
1497371694 Mobile Therapy Centers of Indiana, LLC Behavioral Analyst 4170 Washington Blvd, Indianapolis, IN 46205-2617 2020-06-23
1417572272 Hannah Jossen Ferrill Behavioral Analyst 6635 East 21st Street West Building, Indianapolis, IN 46219-2254 2020-06-08
1184251001 Hope Transitional Services LLC Behavioral Analyst 7830 Palawan Way Apt A, Indianapolis, IN 46239-2212 2020-03-23
1124679832 Kelsey Jean Lindberg Behavioral Analyst 1722 W 16th St, Indianapolis, IN 46202-2031 2019-09-24
1700430956 Jack Graves Behavioral Analyst 1402 Olive St, Indianapolis, IN 46203-1928 2019-07-26
1831751205 Healthy Options LLC Behavioral Analyst 10162 Sedgehill Dr, Indianapolis, IN 46239-9762 2019-07-05
1447818091 Mindful and Modern Methods for Aba, Inc Behavioral Analyst 7507 Michigan Rd, Indianapolis, IN 46268-2321 2019-05-30
1952967630 Ashli Nichole Degenfelder Behavioral Analyst 1389 W 86th St # 170, Indianapolis, IN 46260-2101 2019-05-17
1629540869 E Behavior Solutions LLC Behavioral Analyst 4515 Chatham Pl, Indianapolis, IN 46226-3236 2018-12-28
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Competitor

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City INDIANAPOLIS
Zip Code 46220

Improve Information

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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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