TINA M. KELLY (NPI# 1295364115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295364115 |
| Entity Type | Individual |
| Full Name | TINA M. KELLY |
| Practice Address |
145 Moreland Ave Waterbury CT 06705-2928 |
| Practice Telephone | 2035978734 |
| Mailing Telephone | 2035978734 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| 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 |
|---|---|---|---|---|
| 1073066908 | Tina Kelly | Occupational Therapist | 21 Brittany Blvd, Marlton, NJ 08053-5513 | 2016-07-27 |
| 1629577721 | Tina Marie Kelly | Dental Hygienist | 427 N Michigan Ave, Saginaw, MI 48602-4314 | 2018-02-05 |
| 1407219355 | Tina Marie Kelly | Marriage & Family Therapist | 1144 Sonoma Ave, Suite 104, Santa Rosa, CA 95405-4812 | 2016-03-29 |
| 1518253251 | Tina Marie Kelly | Nurse Practitioner | 433 Copperfield Blvd Ne, Concord, NC 28025-2405 | 2011-06-21 |
| 1104014455 | Tina Vu Kelly | Optometrist | 3223 Duke St, Suite B3, Alexandria, VA 22314-4586 | 2007-10-11 |
| Street Address |
145 MORELAND AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| Find all providers in zip 06705 | ||||
| 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 |
|---|---|---|---|---|
| 1144848094 | Lizana Patrick | Behavior Technician | 100 Mark Ln Unit E2, Waterbury, CT 06704-2441 | 2020-07-08 |
| 1619592680 | Tenia Spruill | Behavior Technician | 142 Alexander Ave Apt A4, Waterbury, CT 06705-3062 | 2020-06-15 |
| 1740723204 | Gloria Nosa-inyiekwe | Behavior Technician | 232 Citizens Ave, Waterbury, CT 06704-2605 | 2016-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719158 | Jennifer Rodriguez | Behavior Technician | 1 Reservoir Corporate Ctr Ste 415, Shelton, CT 06484-6214 | 2020-10-28 |
| 1598364283 | Kelsey J Sullivan | Behavior Technician | 35 Halladay Dr, West Suffield, CT 06093-2027 | 2020-10-22 |
| 1811504525 | Kala Farnham | Behavior Technician | 227 Peterson Rd, Pomfret Center, CT 06259-1421 | 2020-09-26 |
| 1730793621 | Leslie Gonzalez | Behavior Technician | 33 Dixwell Ave, New Haven, CT 06511-3403 | 2020-09-08 |
| 1659985638 | Kathryn Grissom | Behavior Technician | 95 Main Street, Suite 2, East Hampton, CT 06424 | 2020-09-07 |
| 1083228043 | Sadi-ann Duckett | Behavior Technician | 95 Main Streetm Suite 2, East Hampton, CT 06424 | 2020-09-06 |
| 1447869524 | Dr. Hill Educational Services LLC | Behavior Technician | 40 Glenfield Ave, Stratford, CT 06614-4044 | 2020-07-24 |
| 1053929000 | Jessica L Grillo | Behavior Technician | 209 Broad St Apt 1, Danielson, CT 06239-3037 | 2020-07-15 |
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| Find all providers with the same taxonomy | ||||
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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.