CAROLYNE KELLEY (NPI# 1629550256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629550256 |
| Entity Type | Individual |
| Full Name | CAROLYNE KELLEY |
| Practice Address |
6413 Quince Rd Memphis TN 38119-8219 |
| Mailing Address |
8284 Clinton Way Ln Cordova TN 38018-6305 |
| Practice Telephone | 9016905213 |
| Practice Fax Number | 9016668440 |
| Mailing Telephone | 1901283645 |
| Mailing Fax Number | 9016668440 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| 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 |
|---|---|---|---|---|
| 1821448002 | Carolyne Kelley | Nurse Anesthetist, Certified Registered | 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209-6804 | 2016-06-17 |
| Street Address |
6413 QUINCE RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-8219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174954457 | Circle of Faith Christian Center | Non-emergency Medical Transport (VAN) | 6413 Quince Rd, Memphis, TN 38119-8219 | 2013-12-11 |
| 1295345817 | Allison Cave | Occupational Therapist | 6413 Quince Rd, Memphis, TN 38119-8219 | 2020-08-07 |
| 1780292128 | Meghan Witt | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2020-07-22 |
| 1033727474 | Emily Cooper | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2020-07-22 |
| 1780210880 | Lindsey Swafford | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2020-03-20 |
| 1356973648 | Carrie Cannon | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2020-02-05 |
| 1518500073 | Brooke Mclillie | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2019-10-28 |
| 1922657949 | Katherine Yeatman | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2019-09-11 |
| 1821650698 | Adrienne Michell | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2019-07-02 |
| 1306406517 | Adelaide Burrow | Behavioral Analyst | 6413 Quince Rd, Memphis, TN 38119-8219 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 |
|---|---|---|---|---|
| 1851904809 | Claudia Webb | Behavior Technician | 3771 Poplar Ave, Memphis, TN 38111-6020 | 2020-08-28 |
| 1225641905 | Magda Lou | Behavior Technician | 1515 Mount Moriah Rd, Memphis, TN 38117-6701 | 2020-08-24 |
| 1629561337 | Sherika Ilean Starnes-patterson | Behavior Technician | 2940 N Harris Cir, Memphis, TN 38114-5011 | 2018-06-08 |
| 1659979581 | Chaserie Symone Lane | Behavior Technician | 3875 Tiger Paw St S, Memphis, TN 38152-3920 | 2020-10-13 |
| 1841897303 | Jouvanna Latifah Brame | Behavior Technician | 3771 Poplar Ave, Memphis, TN 38111-6020 | 2020-10-07 |
| 1740894955 | Lindsey Richelle Clark | Behavior Technician | 3720 Alumni Ave, Memphis, TN 38111-5914 | 2020-09-04 |
| 1346854619 | Amy Denise Coombs | Behavior Technician | 3771 Poplar Ave, Memphis, TN 38111-6020 | 2020-09-03 |
| 1972117489 | Brenda Guadalupe Pita | Behavior Technician | 1236 Cherrydale Cv, Memphis, TN 38111-8104 | 2020-09-02 |
| 1780292128 | Meghan Witt | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2020-07-22 |
| 1033727474 | Emily Cooper | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2020-07-22 |
| Find all providers in MEMPHIS | ||||
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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.