Tina M Kelly
Behavior Technician in Waterbury, Connecticut
1295364115- Practice location
- 145 Moreland Ave, Waterbury, CT 06705-2928
- Phone
- 203-597-8734
- Fax
- —
- Last updated
- April 2, 2020
Tina M. Kelly is a Behavior Technician based in Waterbury, CT. Tina M. Kelly practices in Waterbury, CT. The NPI Number for Tina M. Kelly is 1295364115. The current practice location address for Tina M. Kelly is 145 Moreland Ave, Waterbury, CT 06705-2928 and can be reached out via phone at 203-597-8734.
Provider Profile Details
- NPI Number
- 1295364115
- Provider Name
- Tina M. Kelly
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 145 Moreland Ave, Waterbury, CT 06705-2928
- Phone Number
- 203-597-8734
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 2, 2020
- Last Update Date
- April 2, 2020
- Certification Date
- April 2, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 145 Moreland Ave
Waterbury, CT 06705-2928 - City
- Waterbury
- State
- Connecticut
- Zip
- 06705-2928
- Phone Number
- 203-597-8734
Provider Business Mailing Address Details
- Address
- 145 Moreland Ave
Waterbury, CT 06705-2928 - City
- Waterbury
- State
- CT
- Zip
- 06705-2928
- Phone Number
- 203-597-8734
License Information
- Taxonomy
- Behavior Technician · 106S00000X · 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 Tina M Kelly?
The NPI number of Tina M Kelly is 1295364115. It was assigned on April 2, 2020 and is currently active in the NPPES registry.
What is the specialty of Tina M Kelly?
Tina M Kelly is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Tina M Kelly practice?
The practice location is 145 Moreland Ave, Waterbury, CT 06705-2928. The office can be reached at 203-597-8734 (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 1295364115 directly on the NPPES registry website.