Kelley Leigh Collins, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59626 Issued in IN

Practice address

2430 S Business 31
Peru, IN 46970-7188

Phone

(765) 460-5071

NPI assigned

Feb 18, 2013

Last updated

Jun 7, 2024By the provider in NPPES

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

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism Brain Alternatives, Inc

  • Behavior Analyst
  • Kokomo, IN
  • NPI 1477863520
  NPD (past)
• Four County Comprehensive Mental Health Center, Inc

  dba 4C Health

  • Psychiatric Hospital
  • Peru, IN
  • NPI 1457539751
  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1639419344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022271",
            "telephone_number": "765-460-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 S BUSINESS 31",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469707188",
            "telephone_number": "765-460-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KELLEY",
        "middle_name": "LEIGH",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-22-59626",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Tones Hearing
• Stephen R Clingman, MD
• Byron Leon Cohee, DDS
• Ann Virae Collie, DO
• Christopher Thomas Collie, D.O.
• Lisa Comerford, NP
• Shannon Marie Conklin
• Samantha Cook, MSW, LSCW
• Sharon Cooley, NP
• Jeffery Wayne Coomer, CRC, CFRC

• Behavior Analyst in Peru, IN
• Providers in Peru, IN by specialty
• Behavior Analyst in Indiana

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