CAITLIN ELIZABETH KELLEY (NPI# 1487132494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487132494 |
| Entity Type | Individual |
| Full Name | CAITLIN ELIZABETH KELLEY |
| Practice Address |
629 Phoenix Dr Ste 150 Virginia Beach VA 23452-7341 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 7578370761 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781075 | Caitlin Shea Kelley | Registered Nurse | 9872 Softwater Way, Columbia, MD 21046-1825 | 2020-05-07 |
| 1467005637 | Caitlin Marie Kelley | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2019-07-17 |
| Street Address |
629 PHOENIX DR STE 150 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-7341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659730208 | Sarah Elyse Keno | Behavioral Analyst | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2016-02-10 |
| 1831709989 | Destiny Sherryl Alexander | Behavior Technician | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2020-08-04 |
| 1508484338 | Alyiah Howell | Behavior Technician | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2020-07-08 |
| 1639797673 | Annika Lauren Cerda | Behavior Technician | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2020-07-07 |
| 1053937532 | Joanna Washburn | Behavior Technician | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2020-06-22 |
| 1356978597 | Toni Warren | Behavior Technician | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2020-03-26 |
| 1720614589 | Charmion Anderson | Behavior Technician | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2020-03-12 |
| 1396377511 | Madison Everie Paige Arnesen | Behavior Technician | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2020-02-05 |
| 1467092197 | Michelle Beth Zirin | Behavior Technician | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2020-01-10 |
| 1639713407 | Scarlett Elizabeth Berger | Behavior Technician | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2019-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| 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 |
|---|---|---|---|---|
| 1639776289 | Georgia Elizabeth Healy | Behavior Technician | 4740 Berrywood Rd, Virginia Beach, VA 23464-5868 | 2020-10-07 |
| 1992311955 | Sara Homer | Behavior Technician | 348 Southport Cir Ste 101, Virginia Beach, VA 23452-1181 | 2020-09-16 |
| 1326677956 | Karina Isabel Braunshausen | Behavior Technician | 5606b Virginia Beach Blvd Ste 103, Virginia Beach, VA 23462-5680 | 2020-04-06 |
| 1407498157 | Tiera Troy | Behavior Technician | 780 Lynnhaven Pkwy Ste 0, Virginia Beach, VA 23452-7332 | 2019-10-15 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1679125330 | Kimberly Brown Lacroix | Behavior Technician | 2307 Oak St, Virginia Beach, VA 23451-1313 | 2019-07-12 |
| 1174083026 | Alexus Chiffon Haley | Behavior Technician | 1350 Pine Cone Cir, Virginia Beach, VA 23453-2708 | 2019-03-25 |
| 1265999254 | Aleksandra Gojkovic | Behavior Technician | 5606 Virginia Beach Blvd Ste 103, Virginia Beach, VA 23462-5631 | 2019-02-26 |
| 1437621521 | Roneka Latifa Scott | Behavior Technician | 1205 Pipers Cres Apt 431, Virginia Beach, VA 23454-4962 | 2018-12-30 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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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.