Individual provider Active NPI

Kelsie Nicole Webb, MA, BCBA, LBA

  • Behavior Analyst
  • Columbia, MO
National Provider Identifier
1033674965
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2024045614 Issued in MO
Practice address
2620 Forum Blvd Ste E
Columbia, MO 65203-5454
Phone
(573) 514-8735
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-76901 IA
Behavior Analyst 103K00000X 2024045614 MO Primary
Behavior Analyst 103K00000X 820 TN

Addresses

Primary practice location

2620 Forum Blvd Ste E
Columbia, MO 65203-5454

Mailing address

300 International Parkway Suite 200
Lake Mary, FL 32746-5028
Phone (629) 216-2007

Other practice location 1

131 Hatcher Lane
Clarksville, TN 37043
Phone (629) 216-2007

Other identifiers 1

IdentifierTypeStateIssuer
Q070622MedicaidTN

Other names 1

  • Kelsie Nicole Thurman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2024045614MOMDBehavioral Analyst
RBT-19-76901IAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopebridge LLC Behavior Analyst Past Accepting new patients
Florida Autism Center Behavior Analyst PastSince Apr 9, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1033674965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PARKWAY SUITE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "629-216-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 FORUM BLVD STE E",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035454",
            "telephone_number": "573-514-8735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Hatcher Lane",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "37043",
            "country_code": "US",
            "telephone_number": "629-216-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KELSIE",
        "middle_name": "NICOLE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IA",
            "license": "RBT-19-76901",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2024045614",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q070622",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSIE",
            "last_name": "THURMAN",
            "middle_name": "NICOLE",
            "credential": "MA, BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.