Kelly Jaclyn Adams

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1217 Stone St
Jonesboro, AR 72401-4520

Phone

(870) 972-1268

NPI assigned

Jun 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1114447125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 STONE ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 STONE ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014520",
            "telephone_number": "870-972-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KELLY",
        "middle_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather R Adams
• Jamie E Adams, APRN, CPNP-AC
• Jeremy Lynn Adams, D.D.S.
• Jordan Adams
• Katrina Renae Adams, LCSW
• Megan Adams
• Michelle L Adams, APRN,FNP-BC
• Savanna Adams, APRN
• Stacy Leeann Adams, LMSW
• Tara Adams

• Behavior Technician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Behavior Technician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.