Kelti Keister, M.A., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

121 N Highland St
Mount Dora, FL 32757-5764

Phone

(813) 438-6796

Fax

(813) 252-1367

NPI assigned

May 4, 2020

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 Arts

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.

• KNR Therapy, LLC

  • Behavior Analyst
  • Tampa, FL
  • NPI 1174089395
  NPD

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1467073155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 TECH BLVD STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197863",
            "telephone_number": "813-438-6796",
            "fax_number": "813-252-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N HIGHLAND ST",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575764",
            "telephone_number": "813-438-6796",
            "fax_number": "813-252-1367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "673 Congress St",
            "address_purpose": "LOCATION",
            "city": "Duxbury",
            "state": "MA",
            "postal_code": "023323008",
            "country_code": "US",
            "telephone_number": "813-438-6796",
            "fax_number": "813-252-1367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 Veterans Pkwy Ste 11",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319093514",
            "country_code": "US",
            "telephone_number": "706-221-8966",
            "fax_number": "706-221-8967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEISTER",
        "first_name": "KELTI",
        "credential": "M.A., BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amer Kassas, APRN
• Katherine Blackwell, LCSW - Life Services
• Kathryn Johnson
• Kellie Lynne Keene
• Peggy A Keene, RN, MA, LMHC
• Joanne M Keller, ARNP
• Zerleene Kellum
• Cameron Ryan Kelly, DC
• Whitney Robin Kelly, DC
• Ginamarie Kenney

• Behavior Analyst in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.