Active NPI
Kelli E Warren, MS, BCBA, LBA
- Behavior Analyst
- Flowood, MS
National Provider Identifier
1659842136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 180067
- Practice address
- 215 Woodline Dr Ste a
Flowood, MS 39232-9721 - Phone
- (601) 407-9286
- NPI assigned
- Dec 10, 2018
- Sex
- Female
- 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 Analyst | 103K00000X | 180067 | MS | Primary |
Addresses
Primary practice location
215 Woodline Dr Ste a
Flowood, MS 39232-9721
Mailing address
215 Woodline Dr Ste a
Flowood, MS 39232-9721
Phone (601) 407-9286
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180067 | MS | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Behavioral Services | Current | Accepting new patients | |
| New Learning Resources, Inc. | Past | Accepting new patients |
Locations
215 Woodline Dr
Ste A
Flowood, MS 39232
Phone (601) 407-9286
Organizations & group practices 2
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.
-
- Clinic/Center
- Flowood, MS
- NPI 1316516586
-
- Local Education Agency (LEA)
- Jackson, MS
- NPI 1174043806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1659842136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 WOODLINE DR STE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329721",
"telephone_number": "601-407-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 WOODLINE DR STE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329721",
"telephone_number": "601-407-9286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "KELLI",
"middle_name": "E",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MS",
"license": "180067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.