Active NPI
Kelle Wood Rich, M.ED, BCBA
- Behavior Analyst
- Austin, TX
National Provider Identifier
1174852503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1000216
- Practice address
- 3006 Bee Caves Road
Ste B-200
Austin, TX 78746 - Phone
- (512) 328-5599
- Fax
- (512) 328-5585
- NPI assigned
- Dec 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1000216 | TX | Primary |
Addresses
Primary practice location
3006 Bee Caves Road
Ste B-200
Austin, TX 78746
Mailing address
3006 Bee Caves Road
Ste B-200
Austin, TX 78746
Phone (512) 328-5599
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000216 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1174852503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 BEE CAVES ROAD",
"address_2": "STE B-200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-328-5599",
"fax_number": "512-328-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 BEE CAVES ROAD",
"address_2": "STE B-200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-328-5599",
"fax_number": "512-328-5585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICH",
"first_name": "KELLE",
"middle_name": "WOOD",
"name_prefix": "Mrs.",
"credential": "M.ED, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-14",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1000216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.