PATRICK KELLAM


Address: 701 3rd Ave Nw, Jamestown, ND 58401-3020
Phone: 7012523850

PATRICK KELLAM (NPI# 1407399652) 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) 1407399652
Entity Type Individual
Full Name PATRICK KELLAM
Practice Address 701 3rd Ave Nw
Jamestown
ND 58401-3020
Practice Telephone 7012523850
Enumeration Date 2016-11-21
Last Update Date 2016-11-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst L23 ND Behavioral Health & Social Service Providers

Other Providers PATRICK KELLAM

NPI Name Taxonomy Address Enumeration
1386006146 Patrick James Kellam Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2016-03-22

Office Location

Street Address 701 3RD AVE NW
City JAMESTOWN
State ND
Zip Code 58401-3020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467954073 Aundra Carter Behavior Technician 701 3rd Ave Nw, Jamestown, ND 58401-3020 2018-02-28

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NPI Name Taxonomy Address Enumeration
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1194216481 Richard Yonick Case Manager/Care Coordinator South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 2018-05-23
1831607910 Creative Journey, LLC Clinic/Center 429 2nd St Sw Ste 205, Jamestown, ND 58401 2018-01-11
1619399334 Stutsman County Social Services Case Manager/Care Coordinator 116 1st Street East, Jamestown, ND 58401 2014-01-15
1073945176 Sarah Walker Pharmacist 410 10th Street Se, Suite 8, Jamestown, ND 58401 2013-07-31
1811339369 Yvette D Patrick Occupational Therapist 207 2nd Avenue Se, Jamestown, ND 58401 2013-07-25
1144582933 Anne Carlsen Center Intermediate Care Facility, Mentally Retarded 701 3rd Steeet Nw, Jamestown, ND 58401 2012-06-08
1407008360 Jacob Dale Reinarts Counselor 2504 Circle Dr # 58401, Jamestown, ND 58401 2008-10-22
1548426430 Shipley Basic Care Alzheimer Center (Dementia Center) 1505 3 St Se, Jamestown, ND 58401 2008-07-31
1831384445 Drake Counseling Services Clinic/Center 1210 13th Ave Sw, Jamestown, ND 58401 2007-09-07
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730521923 Kimberly Lynne Spillane Behavioral Analyst 3399 Fluvanna Avenue Ext, Jamestown, NY 14701-9782 2013-07-29
1184909186 Wendy Anne Johnson Behavioral Analyst 80 Hotchkiss St, Jamestown, NY 14701-1720 2011-10-21
1609392109 Dana Jane Schlecht Behavioral Analyst 701 3rd St Nw, Jamestown, ND 58401-2963 2017-08-16
1073038576 Jacquelyn Marie Loepp-trautman Behavioral Analyst 701 3rd St Nw, Jamestown, ND 58401-2963 2017-08-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902415995 Laura J Akin Behavioral Analyst 1819 5th St Se Apt 11, Minot, ND 58701-6629 2020-07-27
1831687532 Jacquelyn Mahoney Behavioral Analyst 604 North Ave, Bismarck, ND 58501 2018-04-27
1922514397 Brittney Denae Hansen Behavioral Analyst 5420 Mac Dr, Grand Forks, ND 58201-3004 2017-12-21
1265957617 Cassandra Czerwonka Behavioral Analyst 1408 20th Ave Sw, Suite 7, Minot, ND 58701 2017-08-07
1851814636 Erinn Larkin Behavioral Analyst 1929 N Washington St Ste X, Bismarck, ND 58501-1616 2017-07-24
1619417235 Bethany Johnson Behavioral Analyst 647 13th Ave E Ste A, West Fargo, ND 58078-3328 2017-03-01
1558818781 Allison Smith Behavioral Analyst 2405 W Country Club Dr S, Fargo, ND 58103-5738 2016-09-06
1306299011 Toby Trontvet Behavioral Analyst 2520 Chestnut St, Grand Forks, ND 58201-7520 2016-07-18
1780924076 Heart of Behavior, LLC Behavioral Analyst 1306 Westport Beach Way, West Fargo, ND 58078-8860 2013-02-22
1619293164 Barbara J. Peterson Behavioral Analyst 1035 W Avenue B, Bismarck, ND 58501-2407 2010-04-08
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Competitor

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City JAMESTOWN
Zip Code 58401

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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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