AMANDA KELLEY (NPI# 1245840438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245840438 |
| Entity Type | Individual |
| Full Name | AMANDA KELLEY |
| Practice Address |
2344 Helen St N North St Paul MN 55109-2942 |
| Mailing Address |
1509 Southcross Dr W Burnsville MN 55306-6945 |
| Practice Telephone | 6517735988 |
| Mailing Telephone | 9524919810 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235528878 | Amanda Kelley | Pharmacist | 2822 Indianwood Way, Sarasota, FL 34232-6013 | 2015-01-20 |
| 1801146220 | Amanda Kelley | Occupational Therapist | 4343 Loyola Ave, Alexandria, VA 22304-1033 | 2012-09-13 |
| 1790068377 | Amanda Kerr Kelley | Pharmacist | 922 E Mainst, Pharmacy, Laurens, SC 29360-3616 | 2011-09-21 |
| 1124274592 | Amanda Kelley | Developmental Therapist | 48 Meadowview Ct, Campbellsville, KY 42718-1100 | 2008-08-17 |
| 1386296937 | Amanda Elizabeth Kelley | Specialist/Technologist | 330 River Rd, Athens, GA 30602-1501 | 2019-07-14 |
| 1023587524 | Amanda H Kelley | Social Worker | 110 N Drew St, Star City, AR 71667 | 2018-11-14 |
| 1356839047 | Amanda Kelley | Behavior Technician | 17595 Almahurst St Ste 100a, City of Industry, CA 91748-1792 | 2018-04-27 |
| 1215484183 | Amanda Kelley | Counselor | 4721 Reading Rd, Cincinnati, OH 45237-6107 | 2016-09-07 |
| 1740657436 | Amanda Kelley | Case Manager/Care Coordinator | 1145 Sagamore Ave, Portsmouth, NH 03801-5503 | 2015-08-28 |
| 1124461017 | Amanda Christina Kelley | Hearing Instrument Specialist | 1401 Harrodsburg Rd, C-212, Lexington, KY 40504-3751 | 2013-04-10 |
| Street Address |
2344 HELEN ST N |
| City | NORTH ST PAUL |
| State | MN |
| Zip Code | 55109-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164731287 | Kelli Bridget Capocasa | Behavioral Analyst | 2344 Helen St N, North St Paul, MN 55109-2942 | 2010-10-07 |
| 1689287286 | Carly Lynn Cich | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-08-25 |
| 1598377236 | Courtney Elizabeth Alford | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-08-22 |
| 1235741299 | Kelsey Soderberg | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-08-20 |
| 1467062703 | Lauren Werner | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-08-02 |
| 1902436694 | Rachel Tappe | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-01-22 |
| 1760029573 | Sherri A Kelly | Assistant Behavior Analyst | 2344 Helen St N, North St Paul, MN 55109-2942 | 2019-12-01 |
| 1104462209 | Heejae Iris Jung Plank | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2019-11-23 |
| 1033753553 | Hamdi Yusuf | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2019-10-29 |
| 1447804315 | Taylor Marie Roland | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2019-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| 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 |
|---|---|---|---|---|
| 1689287286 | Carly Lynn Cich | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-08-25 |
| 1598377236 | Courtney Elizabeth Alford | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-08-22 |
| 1235741299 | Kelsey Soderberg | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-08-20 |
| 1467062703 | Lauren Werner | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-08-02 |
| 1902436694 | Rachel Tappe | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-01-22 |
| 1104462209 | Heejae Iris Jung Plank | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2019-11-23 |
| 1033753553 | Hamdi Yusuf | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2019-10-29 |
| 1447804315 | Taylor Marie Roland | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2019-07-30 |
| 1619520731 | Emily Michelle Hudson | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2019-07-17 |
| 1326518895 | Eleanore R. Miller | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2018-11-27 |
| Find all providers in NORTH ST PAUL | ||||
| City | NORTH ST PAUL |
| Zip Code | 55109 |
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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.