Kalissa Hall, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1125 Hilliard LN
Clarksville, TN 37042-1751

Phone

(605) 228-6392

NPI assigned

Jul 5, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Positive Reinforcement Behavior Therapy, Inc

  • Behavior Analyst
  • Manchester, NH
  • NPI 1801425699
  NPD
• Positive Reinforcement ABA Therapy Inc.

  • Community/Behavioral Health Agency
  • Manchester, NH
  • NPI 1073959128

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1366004749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 HILLIARD LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370421751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 HILLIARD LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370421751",
            "telephone_number": "605-228-6392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 S Willow St Ste 266",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031035751",
            "country_code": "US",
            "telephone_number": "877-315-8080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 W Russell St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571041322",
            "country_code": "US",
            "telephone_number": "605-271-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 W Russell St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571041322",
            "country_code": "US",
            "telephone_number": "605-271-2690",
            "fax_number": "605-271-3956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1413 Tech Blvd Ste 122",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336197822",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KALISSA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexus Hall
• Ashley Renee Hall, RN
• Christina Marie Hall, B.S.
• Grace Hall
• Jessica Annette Hall, CNA
• Kimberly Faith Hall, M.A.
• Maurice Hall
• Melissa Marie Hall, MSW
• Nancy Lynn Hall, LCSW
• Patience Rhiannon Hall, OTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.