Madison Kelly
Individual provider Active NPI Behavior Analyst · Gulfport, MS
NPI 1295596393 · NPPES record last updated Jul 20, 2026
Key facts
- NPI
- 1295596393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 261023 (MS)
- Practice address
- 15489 Dedeaux Rd
Gulfport, MS 39503-2667 - Phone
- (228) 357-5671
- Fax
- (228) 357-5708
- NPI assigned
- Jan 17, 2024
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Education Solutions | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 261023 | MS | Yes |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
15489 Dedeaux Rd
Gulfport, MS 39503-2667
Mailing address
15489 Dedeaux Rd
Gulfport, MS 39503-2667
Phone (228) 357-5671
Other providers in Gulfport, MS
- Kimberly Ann Keel
- Kathy Keimig
- Inez M Kelleher
- Scott W Keller
- Magali Helena Kelley
- Steven Kelly
- Chelsey Elaine Kennedy
- Kristi Ramey Kennon
- Amy Kenny
- Barbara L. Kerby
All providers in Gulfport, MS · Behavior Analyst in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2026. 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.