Haley Kelso, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-69131 Issued in TN

Practice address

6655 Quince Rd Ste 101
Memphis, TN 38119-8031

Phone

(901) 567-5361

NPI assigned

Nov 15, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1336914878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 QUINCE RD STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198031",
            "telephone_number": "901-567-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 QUINCE RD STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198031",
            "telephone_number": "901-567-5361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2633 Green Hollow Cv",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381335255",
            "country_code": "US",
            "telephone_number": "901-500-0484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELSO",
        "first_name": "HALEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-23-69131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallie R Kelly, NP
• Jayna Kelly, MD
• Linda Faye Kelly, FNP
• Sandra Lynn Kelly, DTR
• Willie Faye Kelly, NP
• Kacie Jay Kelso
• Goodloe Malone Keltner Jr., D.D.S.
• Kem'S House Inc.
• Ben B Kemker, D.C.
• Ashley Sharnelle Kemp

• Behavior Analyst in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.