Kally K Luell, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2125 Heights Dr
Eau Claire, WI 54701-4562

Phone

(715) 832-2233

Fax

(715) 833-1666

NPI assigned

Sep 25, 2018

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

• Kally K Angell 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 and National Provider Directory roles.

• Autism Spectrum Therapies of Delaware, LLC

  • Clinical Psychologist
  • Madison, WI
  • NPI 1043406978

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1295210326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 FOURIER DR STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171969",
            "telephone_number": "608-662-9327",
            "fax_number": "608-662-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 HEIGHTS DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014562",
            "telephone_number": "715-832-2233",
            "fax_number": "715-833-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUELL",
        "first_name": "KALLY",
        "middle_name": "K",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALLY",
            "last_name": "ANGELL",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Paul Lowe, D.D.S.
• Thomas Richard Lowry, M.D.
• Lynne Mary Lucas, COTA
• Jeni Ludescher, PHARMD
• Amy M Ludwikowski, M.D.
• Thomas Henry Luepke III, D.D.S.
• Sarah Lundblad Medrano, DNP, NP-C, FNP-BC
• Trisha Marie Lundin, LPC
• Marilyn C Lustek, RPH
• Dennis M Luther, MD

• Behavior Analyst in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.