Morgan Kelley

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-238968 Issued in MO

Practice address

2620 Forum Blvd Ste E
Columbia, MO 65203-5454

Phone

(573) 514-8735

NPI assigned

Oct 22, 2019

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1528601689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 FORUM BLVD STE E",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035454",
            "telephone_number": "573-514-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 FORUM BLVD STE E",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035454",
            "telephone_number": "573-514-8735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Brookside Pl",
            "address_purpose": "LOCATION",
            "city": "Colwich",
            "state": "KS",
            "postal_code": "670309683",
            "country_code": "US",
            "telephone_number": "316-214-4385 x31621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": "RBT-22-238968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Kelleher, RD, LD
• Olivia Keller-Baruch
• Morgan Keller
• Darlene Kelley
• Jordan M Kelley, LMT
• Clint W Kellogg, D.O.
• Glenda Kaye Kellogg, LCSW
• Danielle Ariana Kelly, RBT
• Dedrae Kelly, PLPC
• Jennifer Lynne Kelly, AGNP

• Behavior Technician in Columbia, MO
• Providers in Columbia, MO by specialty
• Behavior Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.