Kelly McKinnon & Associates, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KELLY MCKINNON & ASSOCIATES, INC.

Practice address

27452 Calle Arroyo
San Juan Capistrano, CA 92675-2748

Phone

(949) 481-7630

Fax

(949) 481-7931

NPI assigned

Feb 8, 2013

Last updated

Feb 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly McKinnon, MA, BCBA

Title

Owner

Phone

(949) 481-7630

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Bermingham, MA

  • Behavior Analyst
  • San Clemente, CA
  • NPI 1386984136
  NPD (past)
• Cherie Francis

  • Occupational Therapist
  • San Juan Capistrano, CA
  • NPI 1235406703
  NPD (past)

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1245579374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27452 CALLE ARROYO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752748",
            "telephone_number": "949-481-7630",
            "fax_number": "949-481-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27452 CALLE ARROYO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752748",
            "telephone_number": "949-481-7630",
            "fax_number": "949-481-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY MCKINNON & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-481-7630",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Katzmark, MT
• Erin Kaupp
• Kasey Susan Franks Kessler, PPS
• Carly Ketchum, LMFT
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• Behavior Analyst in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.