Individual provider Active NPI

Kelcie Noelani Raines, MS, BCBA, LBA

  • Behavior Analyst
  • Ashburn, VA
National Provider Identifier
1043666837
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
013303112 Issued in VA
Practice address
21191 Vineland SQ
Ashburn, VA 20147-5463
Phone
(808) 729-1706
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-347 HI
Behavior Analyst 103K00000X BA61366827 WA
Behavior Analyst 103K00000X 013303112 VA Primary

Addresses

Primary practice location

21191 Vineland SQ
Ashburn, VA 20147-5463

Mailing address

21191 Vineland SQ
Ashburn, VA 20147-5463
Phone (808) 729-1706

Other practice location 1

86-916 Pahano Loop
Waianae, HI 96792-2948
Phone (808) 729-1706

Other names 1

  • Ms. Kelcie Noelani Awo 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 Science

State licenses

LicenseStateTypeSpecialty
BA-347HIMDBehavioral Analyst
013303112VAMDBehavioral Analyst
BA61366827WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Health & Autism Professional Associates & Company, LLC Behavior Analyst CurrentSince Mar 24, 2024 Accepting new patients

Organizations & group practices 1

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1043666837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21191 VINELAND SQ",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475463",
            "telephone_number": "808-729-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21191 VINELAND SQ",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475463",
            "telephone_number": "808-729-1706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86-916 Pahano Loop",
            "address_purpose": "LOCATION",
            "city": "Waianae",
            "state": "HI",
            "postal_code": "967922948",
            "country_code": "US",
            "telephone_number": "808-729-1706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINES",
        "first_name": "KELCIE",
        "middle_name": "NOELANI",
        "name_prefix": "Ms.",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-347",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61366827",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "013303112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELCIE",
            "last_name": "AWO",
            "middle_name": "NOELANI",
            "prefix": "MS.",
            "credential": "MS, BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.