Active NPIIndividual providerSole proprietor

Kellie Clary, BCBA

Behavior Analyst in Berlin, Massachusetts

NPI Number1992463905
Practice location
1 Whitney RD, Berlin, MA 01503-1653
Fax
—
Last updated
December 7, 2021

Kellie Clary is a Behavior Analyst based in Berlin, MA. Kellie Clary practices in Berlin, MA and has the professional credentials of BCBA. The NPI Number for Kellie Clary is 1992463905. The current practice location address for Kellie Clary is 1 Whitney RD, Berlin, MA 01503-1653 and can be reached out via phone at 855-222-7980.

Provider Profile Details

NPI Number
1992463905
Provider Name
Kellie Clary
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
1 Whitney RD, Berlin, MA 01503-1653
Phone Number
855-222-7980
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 7, 2021
Last Update Date
December 7, 2021
Certification Date
December 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Whitney RD
Berlin, MA 01503-1653
City
Berlin
Zip
01503-1653
Phone Number
855-222-7980
Berlin, MA 01503Get directions →

Provider Business Mailing Address Details

Address
12 Oakridge Dr
Rutland, MA 01543-1713
City
Rutland
State
MA
Zip
01543-1713
Phone Number
508-414-3286

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Clary, BCBA?

The NPI number of Kellie Clary, BCBA is 1992463905. It was assigned on December 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Kellie Clary, BCBA?

Kellie Clary, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Kellie Clary, BCBA practice?

The practice location is 1 Whitney RD, Berlin, MA 01503-1653. The office can be reached at 855-222-7980 (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 1992463905 directly on the NPPES registry website.

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