KELLY SPENCER (NPI# 1396199295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396199295 |
| Entity Type | Individual |
| Full Name | KELLY SPENCER |
| Practice Address |
2237 Buena Vista Ln Round Rock TX 78665-5624 |
| Mailing Address |
4575 Se Dixie Hwy Stuart FL 34997-6826 |
| Practice Telephone | 8558326727 |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2016-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336200013 | Kelly Lynn Spencer | Social Worker | 1801 Ne Waterfield Village Ct., Blue Springs, MO 64014 | 2006-12-13 |
| 1154704476 | Kelly Spencer | Nurse Practitioner | 73 Market St, Yonkers, NY 10710-7616 | 2015-07-06 |
| 1356613970 | Kelly Ruthanne Spencer | Nurse Practitioner | 4600 Military Trl, #122, Jupiter, FL 33458-4810 | 2012-01-27 |
| Street Address |
2237 BUENA VISTA LN |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-5624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376046888 | Kelsey Louise Watkins | Behavior Technician | 2237 Buena Vista Ln, Round Rock, TX 78665-5624 | 2018-03-10 |
| 1962919548 | Lyrica Noelle Clark | Technician, Other | 2237 Buena Vista Ln, Round Rock, TX 78665-5624 | 2018-01-04 |
| 1548773070 | Noelle Calabrese | Technician, Other | 2237 Buena Vista Ln, Round Rock, TX 78665-5624 | 2017-11-06 |
| 1538605670 | Sandra Larios | Assistant Behavior Analyst | 2237 Buena Vista Ln, Round Rock, TX 78665-5624 | 2017-01-12 |
| 1447702790 | Lacey Miller | Technician, Other | 2237 Buena Vista Ln, Round Rock, TX 78665-5624 | 2016-11-02 |
| 1497102388 | Lizette Jamison-bell | Behavioral Analyst | 2237 Buena Vista Ln, Round Rock, TX 78665-5624 | 2016-05-20 |
| 1629423058 | Michael Olan | Behavioral Analyst | 2237 Buena Vista Ln, Round Rock, TX 78665-5624 | 2016-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| 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 |
|---|---|---|---|---|
| 1144836040 | Priscilla Chapa | Behavioral Analyst | 1110 Blackburn Pl, Round Rock, TX 78665-2858 | 2020-09-17 |
| 1982219887 | Shelby Lynn Mccain | Behavioral Analyst | 1205 Sam Bass Rd, Round Rock, TX 78681-4247 | 2020-09-09 |
| 1447862867 | Loving Kindness Aba LLC | Behavioral Analyst | 1900 Chaparral Dr, Round Rock, TX 78681-2142 | 2020-08-18 |
| 1669096475 | Hayley Noel Stiles | Behavioral Analyst | 1005 S Mays St, Round Rock, TX 78664-6725 | 2020-06-08 |
| 1477104263 | Tricia Victoria Ebron Espiritu | Behavioral Analyst | 1516 E Palm Valley Blvd Ste C, Round Rock, TX 78664-4619 | 2019-09-24 |
| 1386298313 | Melanie Worix | Behavioral Analyst | 2801 Oakmont Dr Ste 100, Round Rock, TX 78665-1021 | 2019-07-29 |
| 1013471036 | Andrea Aramayo | Behavioral Analyst | 1516 E Palm Valley Blvd Unit C, Round Rock, TX 78664-4619 | 2019-01-23 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1891235164 | Jillian Palmer | Behavioral Analyst | 170 Deep Wood Dr Ste 104, Round Rock, TX 78681-4949 | 2017-03-06 |
| 1407303704 | Elizabeth Marie Rodriguez | Behavioral Analyst | 650 Louis Henna Blvd, Apt 10104, Round Rock, TX 78664-7310 | 2016-09-02 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on KELLY SPENCER.
| 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.