Kathryn Elizabeth Raulerson-Kellas, BCABA, LABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0134000030 Issued in VA

Practice address

12727 McManus Blvd Ste G
Newport News, VA 23602-4459

Phone

(757) 869-4162

Fax

(757) 846-6959

NPI assigned

Aug 2, 2013

Last updated

Apr 21, 2021By 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 1

Addresses

Other identifiers 1

Other names 1

• Kathryn Elizabeth Jablonsky Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progressive ABA, Inc.

  • Behavior Analyst
  • Newport News, VA
  • NPI 1962834853
  NPD Authorized official

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1649602533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 MCMANUS BLVD STE G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024459",
            "telephone_number": "757-877-2300",
            "fax_number": "757-846-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 MCMANUS BLVD STE G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024459",
            "telephone_number": "757-869-4162",
            "fax_number": "757-846-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAULERSON-KELLAS",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "BCABA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF MEDICINE",
            "identifier": "0134000030",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkellas@progressive-aba.org",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPPA compliant email address",
            "address_1": "12727 McManus Blvd Ste G",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236024459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "JABLONSKY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Isabelle Rapale
• Andrew Mark Rashkow, MD
• Kimberly Ann Ratcliffe, MD
• Ajay S Rathore, M.D.
• Chantrise N Ratliff
• Rawles & Associates, PLC
• Taylor Brooke Rawls
• Ray a. Dail, D.D.S., P.C.
• Denise Ray, CRNA
• Matthew David Ray, DO

• Assistant Behavior Analyst in Newport News, VA
• Providers in Newport News, VA by specialty
• Assistant Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.