Kelly Ann Aicher, BCBA
Individual provider Active NPI Behavior Analyst · Lake Mary, FL
NPI 1255935698 · NPPES record last updated Apr 17, 2025
Key facts
- NPI
- 1255935698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-21-53616 (FL)
- Practice address
- 758 N Sun Dr Ste 112
Lake Mary, FL 32746-2599 - Phone
- (407) 317-5429
- Fax
- (321) 800-7201
- NPI assigned
- Nov 25, 2020
- 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-20-119819 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Concepts Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-119819 | FL | |
| Behavior Analyst | 103K00000X | 1-21-53616 | FL | Yes |
Addresses
Primary practice location
758 N Sun Dr Ste 112
Lake Mary, FL 32746-2599
Mailing address
1509 E Colonial Dr Ste 300
Orlando, FL 32803-4729
Phone (407) 218-4340
Other practice location 1
500 E Colonial Dr
Orlando, FL 32803-4510
Phone (407) 218-4340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108843600 | Medicaid | FL |
Other names
- Kelly Ann O'Donnell
Other providers in Lake Mary, FL
- Jacob K Agamasu
- Sumita Aggarwal
- Ayesha R Ahmar
- Abdul Quyyum Ahmed
- Rafat Ahmed
- Kayla M Aird
- Courtney Aker
- Suleiman Al Ashi
- Thomas J. Alber
- Whitney Albert
All providers in Lake Mary, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2025. 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.