Kelly Nicole Hall
Individual provider Active NPI Behavior Technician · Thurmont, MD
NPI 1245948009 · NPPES record last updated Aug 11, 2023
Key facts
- NPI
- 1245948009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6504 Mountaindale Rd
Thurmont, MD 21788-2719 - Phone
- (443) 243-7647
- NPI assigned
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-290592 | MD | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavior and Learning Consultants, LLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-23-290592 | MD | |
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
6504 Mountaindale Rd
Thurmont, MD 21788-2719
Mailing address
6504 Mountaindale Rd
Thurmont, MD 21788-2719
Phone (443) 243-7647
Other providers in Thurmont, MD
- Andrea Leanoria Grant
- Kiel Green
- Robert Scott Green
- Vince Halcomb
- Margo Hale
- Perette Halpin
- Ariana Harding
- William F Harper
- Lisa Heisey
- Jennifer Ashley Hernandez
All providers in Thurmont, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.