KELLY LYNN O'BRIEN


Address: 108 Doctors Park, Saint Cloud, MN 56303-1207
Phone: 3207743915

KELLY LYNN O'BRIEN (NPI# 1235748997) 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) 1235748997
Entity Type Individual
Full Name KELLY LYNN O'BRIEN
Practice Address 108 Doctors Park
Saint Cloud
MN 56303-1207
Practice Telephone 3207743915
Mailing Telephone 3207743915
Enumeration Date 2020-07-29
Last Update Date 2020-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
205 14th Ave E, Sartell, MN 563774500 3207743436 3207743440

Other Providers KELLY O'BRIEN

NPI Name Taxonomy Address Enumeration
1154988483 Kelly Jean O'brien Dental Hygienist Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 2019-05-22
1326547225 Kelly O'brien Counselor 46 Briar Hill Dr, Cranston, RI 02921-1202 2018-02-06
1659789089 Kelly O'brien Recreation Therapist 1039 Forest Ave, Belleville, IL 62220-3623 2014-07-29
1033535505 Kelly O'brien Counselor 4847 152nd Pl Se, Bellevue, WA 98006-3604 2014-03-08
1265605331 Kelly Anne O'brien Family Medicine 600 Nw Murray Rd Ste 210, Lees Summit, MO 64081-1245 2008-04-09
1083212344 Kelly O'brien Physician Assistant 900 Medical Village Dr, Edgewood, KY 41017-3422 2020-10-09
1174135180 Kelly Therese O'brien Counselor 6415 Stanley Ave, Berwyn, IL 60402-3130 2020-08-20
1164048476 Kelly M O'brien Social Worker 535 Flushing Ave, Brooklyn, NY 11205-1610 2020-06-23
1740801687 Kelly Joyce O'brien Emergency Medicine 801 Ostrum St, Bethlehem, PA 18015-1000 2020-05-01
1104457225 Kelly Marie O'brien Occupational Therapy Assistant 3640 Central Ave, Indianapolis, IN 46205-3569 2020-01-28

Office Location

Street Address 108 DOCTORS PARK
City SAINT CLOUD
State MN
Zip Code 56303-1207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780290502 Cynthia Ann Fussy Behavior Technician 108 Doctors Park, Saint Cloud, MN 56303-1207 2020-09-17
1386250132 Lily Faith Chamerski Behavior Technician 108 Doctors Park, Saint Cloud, MN 56303-1207 2020-09-17
1801402649 Kailee Rae Young Behavior Technician 108 Doctors Park, Saint Cloud, MN 56303-1207 2020-09-17
1447865241 Codi Afton Mogensen Behavior Technician 108 Doctors Park, Saint Cloud, MN 56303-1207 2020-09-09
1457964637 Angela Catherine Devore Behavior Technician 108 Doctors Park, Saint Cloud, MN 56303-1207 2020-08-26
1265045447 Meghan Lyn Minor Behavior Technician 108 Doctors Park, Saint Cloud, MN 56303-1207 2020-08-26
1033736350 Kylie Jean Johnson Behavior Technician 108 Doctors Park, Saint Cloud, MN 56303-1207 2020-07-02
1295352516 Mary Jo Renee Vetsch Behavior Technician 108 Doctors Park, Saint Cloud, MN 56303-1207 2020-07-02
1619593571 Robert Dean Sauter Behavior Technician 108 Doctors Park, Saint Cloud, MN 56303-1207 2020-06-17
1154947026 Patrick Michael Grant Behavior Technician 108 Doctors Park, Saint Cloud, MN 56303-1207 2020-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841800463 Daniel P Lahr Radiologic Technologist St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 2020-08-07
1730798398 County of Stearns Case Management 705 Courthouse Square, St Cloud, MN 56303 2020-07-29
1669007126 Aflah Transportation LLC Non-emergency Medical Transport (VAN) 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 2020-03-05
1609420942 Stephanie Lynne Metzger Nurse Practitioner Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 2019-07-25
1306406947 Willow Tree Acupuncture LLC Acupuncturist 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 2019-06-17
1821553520 Alan Melvin Hoeper Nurse Anesthetist, Certified Registered Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 2019-02-06
1437644465 Brianna Larissa Justin Speech-Language Pathologist St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 2018-06-22
1780186486 Simplicity Health Pa Family Medicine 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 2018-03-08
1639682925 Dereje Beyene Respiratory Therapist, Certified 1406 15th Street North, Saint Cloud, MN 56303 2017-11-09
1740792761 Lisa Ann Horner Nurse Practitioner 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 2017-10-31
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861016503 Fabiola Nicole De Jesus Ruiz Behavior Technician 3613 Moca Dr, Saint Cloud, FL 34772-8147 2020-05-28
1669003943 Laura Phelps Behavior Technician 438 Connecticut Ave, Saint Cloud, FL 34769-2731 2020-01-27
1063073666 Patricia Mary Krug Behavior Technician 5204 Hammock Circe, Saint Cloud, FL 34771 2019-06-25
1902365380 Ariel Laabs Behavior Technician 3721 23rd St S # 201, Saint Cloud, MN 56301-6198 2019-03-15
1760950216 Sergio Gabriel Aponte Behavior Technician 5251 Mill Stream Dr, Saint Cloud, FL 34771-8711 2018-11-02
1558845057 Colby Perry Behavior Technician 1108 Virginia Ave, Saint Cloud, FL 34769-3841 2018-09-20
1316453442 Amber Grengs Behavior Technician 3721 23rd St S Ste 201, Saint Cloud, MN 56301 2017-12-27
1790297539 Yamiris Galban Mendoza Behavior Technician 4019 Nolte Rd Apt 1, Saint Cloud, FL 34772-7185 2017-11-02
1770023111 Rocio Contreras Behavior Technician 3524 Saxony Ln, Saint Cloud, FL 34772-8600 2017-03-05
1881143246 Jd Home Health Care Behavior Technician 4896 52nd St Se, Saint Cloud, MN 56304-9520 2016-09-27
Find all providers in SAINT CLOUD

Competitor

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City SAINT CLOUD
Zip Code 56303

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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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