Colleen Emma Kelly, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11212433 Issued in MA

Practice address

48 Aberdeen Rd
Arlington, MA 02476-5752

Phone

(774) 644-6276

NPI assigned

May 29, 2015

Last updated

May 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Colleen Emma Leal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1023498565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ABERDEEN RD",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024765752",
            "telephone_number": "774-644-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ABERDEEN RD",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024765752",
            "telephone_number": "774-644-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "COLLEEN",
        "middle_name": "EMMA",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "11212433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "LEAL",
            "middle_name": "EMMA",
            "credential": "MA, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nikolaos Katsavochristos, DMD
• Carol M. Kauffman, PH.D.
• Kalpana Kaveti, DMD
• Kim Keefe
• Elizabeth Noel Kehrli, MSPT
• Patricia Kelly, LISCW
• Kendra Martin Dermatology
• Khamphady Keovongsa, LICSW
• Lisa Marie Keovongsa, RD, LDN
• Adrienne Kerrigan, M.ED, PCC

• Behavior Analyst in Arlington, MA
• Providers in Arlington, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.