KELLY J KEELER (NPI# 1982956215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982956215 |
| Entity Type | Individual |
| Full Name | KELLY J KEELER |
| Credential | MA |
| Practice Address |
2001 S Shields St Building K Fort Collins CO 80526-1827 |
| Mailing Address |
125 Crestridge St Fort Collins CO 80525-3934 |
| Practice Telephone | 9704944200 |
| Practice Fax Number | 9703469800 |
| Mailing Telephone | 9704949761 |
| Mailing Fax Number | 9703469800 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2001 S SHIELDS ST BUILDING K |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508863085 | Spring Creek Medical Park Outpatient Surgery Center LLC | Clinic/Center | 2001 S Shields St, Bldg F, Fort Collins, CO 80526-1827 | 2005-06-30 |
| 1255976098 | Ricky Davis | Peer Specialist | 2001 S Shields St, Fort Collins, CO 80526-1827 | 2019-11-15 |
| 1528515616 | Sariah R Collard | Counselor | 2001 S Shields St, Fort Collins, CO 80526-1827 | 2016-09-06 |
| 1881017366 | Healing Warriors Program | Voluntary or Charitable | 2001 S Shields St, Building L, Fort Collins, CO 80526-1827 | 2014-02-04 |
| 1053747311 | Wendy Fleagane | Counselor | 2001 S Shields St, Bldg K, Fort Collins, CO 80526-1827 | 2013-09-18 |
| 1760818025 | Kirsten Goffena | Counselor | 2001 S Shields St, Building K, Fort Collins, CO 80526-1827 | 2013-09-18 |
| 1689012825 | Robert Larson Od PC | Optometrist | 2001 S Shields St, Ste. B-3, Fort Collins, CO 80526-1827 | 2013-06-10 |
| 1407299803 | Noel C Jensen | Acupuncturist | 2001 S Shields St, Ste H101, Fort Collins, CO 80526-1827 | 2013-04-16 |
| 1588916118 | Adam J Doherty | Social Worker | 2001 S Shields St, Building K, Fort Collins, CO 80526-1827 | 2012-10-05 |
| 1750669289 | Lindsey Louise Cosper | Dentist | 2001 S Shields St, Bldg C-1, Fort Collins, CO 80526-1827 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| 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 |
|---|---|---|---|---|
| 1114549482 | Megan Christine Kramer | Behavioral Analyst | 2208 Harvest St, Fort Collins, CO 80528-7114 | 2020-05-10 |
| 1083241335 | Hopebridge LLC | Behavioral Analyst | 3351 Eastbrook Dr Ste 101, Fort Collins, CO 80525-5744 | 2020-03-26 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1740789783 | Amanda Christine Archibeque | Behavioral Analyst | 1100 Haxton Dr, Fort Collins, CO 80525-6213 | 2018-02-05 |
| 1700391307 | Jennifer Snow | Behavioral Analyst | 3203 Grand Teton Pl, Fort Collins, CO 80525-9083 | 2017-12-05 |
| 1861865891 | John W Floyd | Behavioral Analyst | 836 W Prospect Rd, Fort Collins, CO 80526-1922 | 2015-11-13 |
| 1407249352 | Olivia Sanders | Behavioral Analyst | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525 | 2015-03-16 |
| 1396148474 | Charles Hardy Ball | Behavioral Analyst | 705 Mathews St, Fort Collins, CO 80524-3376 | 2014-10-02 |
| 1205266319 | David Eugene Hughes | Behavioral Analyst | 912 Driftwood Dr, Fort Collins, CO 80525 | 2013-11-26 |
| 1083952881 | Stephen Bernier | Behavioral Analyst | 116 E Drake Rd, Fort Collins, CO 80525-1728 | 2013-01-29 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
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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.