KELSEE MULLEN (NPI# 1629585864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629585864 |
| Entity Type | Individual |
| Full Name | KELSEE MULLEN |
| Credential | BCBA, LBA |
| Practice Address |
300 N 18th St Phoenix AZ 85006-4103 |
| Practice Telephone | 6023408717 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BEH-000598 | AZ | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
300 N 18TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689741357 | Southwest Autism Research and Resource Center | Clinic/Center | 300 N 18th St, Phoenix, AZ 85006-4103 | 2006-11-29 |
| 1912511197 | Elizabeth Anne Johnson | Behavioral Analyst | 300 N 18th St, Phoenix, AZ 85006-4103 | 2020-09-03 |
| 1497253652 | Kelsey Erdmann | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-23 |
| 1679081087 | Monique Enjoli Auger | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-19 |
| 1831607357 | Amy Marie Clark | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-18 |
| 1164930699 | Essence A Townsend | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-18 |
| 1952819518 | Silvia Dergal | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-17 |
| 1518475458 | Lauren Musselman | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-12 |
| 1235646357 | Sienna Vangelder | Behavioral Analyst | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-10 |
| 1699282806 | Maranda Denise Taylor | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| 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 |
|---|---|---|---|---|
| 1538773643 | Athra Khdaier | Behavioral Analyst | 10873 W Devonshire Ave, Phoenix, AZ 85037-5760 | 2020-09-04 |
| 1730793076 | Shelby Leinweber | Behavioral Analyst | 2095 W Pinnacle Peak Rd Ste 110b, Phoenix, AZ 85027-1247 | 2020-09-03 |
| 1821609413 | Sonoran Learning and Behavioral Services LLC | Behavioral Analyst | 34225 N 27th Dr Bldg 4b, Phoenix, AZ 85085-6087 | 2020-08-17 |
| 1225657547 | Az Sprout Mc 1 LLC | Behavioral Analyst | 21725 N 20th Ave Ste 101-102, Phoenix, AZ 85027-2640 | 2020-04-16 |
| 1053953943 | Katelyn Paige Brown | Behavioral Analyst | 4602 E University Dr Ste 130, Phoenix, AZ 85034-7430 | 2019-10-11 |
| 1487204087 | Elizabeth Vos | Behavioral Analyst | 2025 N 3rd St Ste 250, Phoenix, AZ 85004-1472 | 2019-09-16 |
| 1740832831 | Brandon Nehus | Behavioral Analyst | 14603 Old York Rd, Phoenix, MD 21131-1441 | 2019-07-10 |
| 1689137309 | Dylan Marks | Behavioral Analyst | 1117 E Beryl Ave, Phoenix, AZ 85020-1539 | 2019-04-09 |
| 1295297968 | Michelle Taylor | Behavioral Analyst | 1625 W Pecan Rd, Phoenix, AZ 85041-4640 | 2019-04-02 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
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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.