Kelsey Starr Stroud, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

751 E Georgia Rd
Woodruff, SC 29388-8787

Phone

(864) 476-7400

NPI assigned

Jan 13, 2017

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 identifiers 1

Other names 1

• Kelsey Grace Starr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1346786415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E GEORGIA RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888787",
            "telephone_number": "864-476-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E GEORGIA RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888787",
            "telephone_number": "864-476-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "KELSEY",
        "middle_name": "STARR",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-16-24713",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "STARR",
            "middle_name": "GRACE",
            "credential": "M.ED., BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• South Carolina Post Acute Medical Services 1 PC
• Spartanburg County School District Four
• Spartanburg Medical Center (Medical Group of the Carolinas - Family Medicine - Woodruff)
• Andrea Kittye Stanley
• Anna M Stoudenmire, MA
• Matthew Sullivan, PT
• The Tribe of South Carolina Home Care LLC (The Tribe)
• Thomas Fordham Brewer MD PLLC
• Shannon Leigh Tyner Thompson, BCBA
• Tiny Bubbles SLP LLC

• Behavior Analyst in Woodruff, SC
• Providers in Woodruff, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.