Active NPI
Gunnar Kelley
- Behavior Technician
- Wasilla, AK
National Provider Identifier
1316858863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3543 E Meridian Park Loop Ste C
Wasilla, AK 99654-7233 - Phone
- (907) 864-0099
- NPI assigned
- Sep 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | AK | Primary |
Addresses
Primary practice location
3543 E Meridian Park Loop Ste C
Wasilla, AK 99654-7233
Mailing address
6301 N Bishop Dr
Wasilla, AK 99654-9042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1316858863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 N BISHOP DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996549042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3543 E MERIDIAN PARK LOOP STE C",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547233",
"telephone_number": "907-864-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "GUNNAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.