Kellie E Donovan
Behavior Analyst in Worcester, Massachusetts
1063087070- Practice location
- 345A Greenwood St, Worcester, MA 01607-1753
- Phone
- 508-363-0200
- Fax
- —
- Last updated
- February 19, 2024
Kellie Evelyn Donovan is a Behavior Analyst based in Worcester, MA. Kellie Evelyn Donovan practices in Worcester, MA. The NPI Number for Kellie Evelyn Donovan is 1063087070 and holds a License No. 1-24-70652 (MA). The current practice location address for Kellie Evelyn Donovan is 345A Greenwood St, Worcester, MA 01607-1753 and can be reached out via phone at 508-363-0200.
Provider Profile Details
- NPI Number
- 1063087070
- Provider Name
- Kellie Evelyn Donovan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 345A Greenwood St, Worcester, MA 01607-1753
- Phone Number
- 508-363-0200
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 21, 2021
- Last Update Date
- February 19, 2024
- Certification Date
- February 19, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 345A Greenwood St
Worcester, MA 01607-1753 - City
- Worcester
- State
- Massachusetts
- Zip
- 01607-1753
- Phone Number
- 508-363-0200
Provider Business Mailing Address Details
- Address
- 345A Greenwood St
Worcester, MA 01607-1753 - City
- Worcester
- State
- MA
- Zip
- 01607-1753
License Information
- Taxonomy (1)
- Behavior Technician · 106S00000X
- License Number (2)
- 1-24-70652
- License State (2)
- MA
- Taxonomy (2)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kellie E Donovan?
The NPI number of Kellie E Donovan is 1063087070. It was assigned on May 21, 2021 and is currently active in the NPPES registry.
What is the specialty of Kellie E Donovan?
Kellie E Donovan is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1-24-70652.
Where does Kellie E Donovan practice?
The practice location is 345A Greenwood St, Worcester, MA 01607-1753. The office can be reached at 508-363-0200 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063087070 directly on the NPPES registry website.