Kelsi Elizabeth Wade, M.ED, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-57101 Issued in TX

Practice address

304 S Adams St
MC Gregor, TX 76657-2300

Phone

(254) 644-1449

NPI assigned

May 10, 2023

Last updated

May 10, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1083304265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S ADAMS ST",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766572300",
            "telephone_number": "254-644-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S ADAMS ST",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766572300",
            "telephone_number": "254-644-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "KELSI",
        "middle_name": "ELIZABETH",
        "credential": "M.ED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-21-57101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Smith, MS, LAT, ATC
• South Limestone Hospital District (St. Joseph's Care Center)
• Darhonda Swallow, MSN,RN, CPNP-PC
• Kelsey M Thompson, D.D.S.
• Paige Elizabeth Ver Steeg, RN
• Floyd Clinton Watson, MD
• Josephine Escasa Watson, MD
• Daphne Joy Weiss, MD
• Westview Manor Holdings Inc
• Lynette Wilson, M.MFT, LMFT

• Behavior Analyst in McGregor, TX
• Providers in McGregor, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.