Active NPI
Austin Kelm
- Behavior Technician
- Orange Park, FL
National Provider Identifier
1487362794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 550 Wells Rd
Orange Park, FL 32073-2969 - Phone
- (877) 823-4283
- Fax
- (352) 552-4859
- NPI assigned
- Nov 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
550 Wells Rd
Orange Park, FL 32073-2969
Mailing address
550 Wells Rd
Orange Park, FL 32073-2969
Phone (877) 823-4283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1487362794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 WELLS RD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732969",
"telephone_number": "877-823-4283",
"fax_number": "352-552-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 WELLS RD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732969",
"telephone_number": "877-823-4283",
"fax_number": "352-552-4859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELM",
"first_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-07",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.