Kelly Webb, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-77919 Issued in CT

Practice address

58 Pomperaug Rd
Woodbury, CT 06798-3713

Phone

(203) 313-5537

NPI assigned

Dec 9, 2024

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

Practice roles

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.

• A Brand New Day ABA Services LLC

  • Behavior Analyst
  • Woodbury, CT
  • NPI 1447795067
  NPD

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1447066063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BLAKESLEE ST APT 177",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060108802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 POMPERAUG RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983713",
            "telephone_number": "203-313-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KELLY",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-24-77919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unalome Healing Center LLC
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• David Vanhandel, LCSW
• Frank L Varanko, RPH
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• William Christopher Brown
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• Beth Wolf
• Woodbury Ambulance Association Inc

• Behavior Analyst in Woodbury, CT
• Providers in Woodbury, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.