Kellie Thrift Lynch, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-219619 Issued in NU

Practice address

1316 W Orange St
Jesup, GA 31545-0714

Phone

(912) 385-2927

Fax

(912) 385-2928

NPI assigned

Jun 10, 2022

Last updated

Jun 10, 2022By the provider in NPPES

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

• Kellie Marlene Thrift Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Howard Center for Social Cognition and Communication

  • Behavior Analyst
  • Jesup, GA
  • NPI 1760816292
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1245960582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 W ORANGE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450714",
            "telephone_number": "912-385-2927",
            "fax_number": "912-385-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W ORANGE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450714",
            "telephone_number": "912-385-2927",
            "fax_number": "912-385-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KELLIE",
        "middle_name": "THRIFT",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-22-219619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "THRIFT",
            "middle_name": "MARLENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Ashley Linder, DOCTORATE PHARMACY
• Christina Little, RBT
• Jeri Lynn Long, APRN
• Thomas Patrick Loumeau, MD
• Lung Associates, PC
• Ashlyn Taylor Madray, CCC-SLP
• Gregory Alan Madray, DDS PC
• Sandra L Mager, M.D.
• Magnolia Midlands Pain Management
• Jennifer C. Mann-Mackey, LPC

• Behavior Technician in Jesup, GA
• Providers in Jesup, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.