Active NPI
Kelly Ray Ross, TLMSW
- Behavior Analyst
- Olathe, KS
National Provider Identifier
1205139425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7950
- Practice address
- 1125 W Spruce St
Olathe, KS 66061-3123 - Phone
- (913) 713-7700
- NPI assigned
- Dec 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 7950 | KS | Primary |
Addresses
Primary practice location
1125 W Spruce St
Olathe, KS 66061-3123
Mailing address
1424 Martway Cir Apt B
Olathe, KS 66061-5820
Phone (785) 766-7898
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7950 | KS | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1205139425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 MARTWAY CIR APT B",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615820",
"telephone_number": "785-766-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 W SPRUCE ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660613123",
"telephone_number": "913-713-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KELLY",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "TLMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-09",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KS",
"license": "7950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.