Celia Kellerman, MSED, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000603 Issued in VA

Practice address

30 Fulton Dr
Stafford, VA 22554-7827

Phone

(703) 973-3479

NPI assigned

Feb 28, 2018

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

• Celia Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CRC Behavioral Consulting, LLC

  • Behavior Analyst
  • Fredericksburg, VA
  • NPI 1710440268
  NPD Authorized official

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1154822732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FULTON DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547827",
            "telephone_number": "703-973-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FULTON DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547827",
            "telephone_number": "703-973-3479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11240 Waples Mill Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220306078",
            "country_code": "US",
            "telephone_number": "703-237-2219",
            "fax_number": "703-237-2729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLERMAN",
        "first_name": "CELIA",
        "name_prefix": "Mrs.",
        "credential": "MSED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELIA",
            "last_name": "LEWIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katz Health
• Rebecca Kaufman, LPC
• Lizette Kayaian
• Patricia Elaine Keating, LPC, NCC
• Cayla Kekey, BCABA
• Gina C Kells
• Anna Kelly, RBT
• Kaitlin Kelly
• Katherine Michelle Kelly, BCBA
• Larissa Nicole Kelly

• Behavior Analyst in Stafford, VA
• Providers in Stafford, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.