KELLY LYNN COSTELLO (NPI# 1194177949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194177949 |
| Entity Type | Individual |
| Full Name | KELLY LYNN COSTELLO |
| Credential | BCBA |
| Practice Address |
4103 Lester Ct Alexandria VA 22311-1121 |
| Practice Telephone | 6153355844 |
| Mailing Telephone | 6153355844 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-19490 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295192268 | Kelly Costello | Developmental Therapist | 1501 Frost Rd, Mechanicsburg, PA 17055-5134 | 2016-01-21 |
| 1659507226 | Kelly N Costello | Occupational Therapist | 4622 40th Ave S Ste B, Fargo, ND 58104-4394 | 2009-06-09 |
| 1194237495 | Kelly Marie Costello | Pharmacist | 1200 W Fayette Ave, Effingham, IL 62401-1913 | 2017-10-26 |
| 1497159412 | Kelly Costello | Counselor | 1714 Jarrettsville Rd, Jarrettsville, MD 21084-1524 | 2014-10-20 |
| 1780011932 | Kelly Costello | Social Worker | 2500 18th St, San Francisco, CA 94110-2109 | 2013-10-02 |
| 1588858039 | Kelly L Costello | Dietitian, Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2007-08-28 |
| 1639389448 | Kelly E Costello | Counselor | 95 Pleasant St, Lynn, MA 01901-1524 | 2007-05-23 |
| 1801828884 | Kelly L Costello | Pediatrics | 401 N 17th St, Suite 203, Allentown, PA 18104-5034 | 2006-07-07 |
| Street Address |
4103 LESTER CT |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22311-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356995898 | Tika Trotter-mason | Counselor | 1900 N Beauregard Street, Alexandria, VA 22311 | 2019-08-01 |
| 1386179414 | Marian Ramirez Bautista | Nurse Practitioner | 2000 N Beauregard St. Suite 330, Alexandria, VA 22311 | 2017-04-26 |
| 1710294327 | Heather Jo Knowles Scharre | Behavioral Analyst | 4876 West Braddock Road, Alexandria, VA 22311 | 2010-09-02 |
| 1790001980 | Soft Dentistry | Clinic/Center | 5508 Seminary Rd, Alexandria, VA 22311 | 2010-04-13 |
| 1093946469 | David John Anderson | Dentist | 5192 Dawes Avenue, Alexandria, VA 22311 | 2009-08-04 |
| 1114109410 | Chong W. Lee, M.d., P.C. | Surgery | 4901 Seminary Road, #110, Alexandria, VA 22311 | 2007-11-29 |
| 1922298819 | Ramia Gupta | Psychiatry & Neurology | 4551 Strutfield Lane, #4220, Alexandria, VA 22311 | 2007-07-27 |
| 1942422431 | Sheila Jahan Md PC | Psychiatry & Neurology | 5238 Dawes Ave, Alexandria, VA 22311 | 2007-05-03 |
| 1457497380 | Elizabeth Anne Teegarden | Psychologist | 5276 Dawes Avenue, Alexandria, VA 22311 | 2007-01-29 |
| 1609932292 | James A Snyder | Dentist | 5284 Dawes Avenue, Alexandria, VA 22311 | 2006-12-28 |
| Find all providers in zip 22311 | ||||
| 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 |
|---|---|---|---|---|
| 1316548449 | Mikhail Ignatov | Behavioral Analyst | 1600 N Beauregard St Ste 100, Alexandria, VA 22311-1732 | 2020-11-04 |
| 1427664150 | Madimba Kayumba | Behavioral Analyst | 2651 Arlington Dr Apt 204, Alexandria, VA 22306-3626 | 2020-09-18 |
| 1992324982 | Peak Behavior LLC | Behavioral Analyst | 105 E Oxford Ave, Alexandria, VA 22301-1331 | 2020-04-10 |
| 1699328872 | Lindsey Colombo | Behavioral Analyst | 5920 Founders Crossing Ct Unit 204, Alexandria, VA 22310-5465 | 2019-07-17 |
| 1275185654 | Living Hope Aba Therapy, Inc (a Professional Corporation) | Behavioral Analyst | 3127 Highway 457, Alexandria, LA 71302-9256 | 2019-07-15 |
| 1982264651 | Chrystal Lynne Atkinson | Behavioral Analyst | 5731 Jackson St Ste B&c, Alexandria, LA 71303-7022 | 2019-06-15 |
| 1013403476 | Insight Home Behavior Systems | Behavioral Analyst | 1462 S Greenmount Dr Apt T3, Alexandria, VA 22311-2321 | 2018-07-09 |
| 1063900389 | Kerry Ann O'shea Litonjua | Behavioral Analyst | 8049 Fairfax Rd, Alexandria, VA 22308-1408 | 2018-04-23 |
| 1912406802 | Virginia Eunice Roldan | Behavioral Analyst | 4875 Eisenhower Ave Ste 210, Alexandria, VA 22304-4833 | 2018-02-06 |
| 1922514678 | Heather Emmons | Behavioral Analyst | 8319 Orville St, Alexandria, VA 22309-1049 | 2017-12-18 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22311 |
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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.