Kelsey L Bunyak, M.ED
Individual provider Active NPI Behavior Analyst · Kannapolis, NC
NPI 1659975159 · NPPES record last updated Nov 11, 2024
Key facts
- NPI
- 1659975159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 2222 (NC)
- Practice address
- 1777 Old Earnhardt Rd
Kannapolis, NC 28083-8023 - Phone
- (704) 799-6824
- Fax
- (704) 799-6825
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2222 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lolly Therapeutics, LLC | Behavior Analyst | Past |
Accepting new patients |
| Integrative Therapy Concepts | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2222 | NC | Yes |
Addresses
Primary practice location
1777 Old Earnhardt Rd
Kannapolis, NC 28083-8023
Mailing address
134 Infield CT
Mooresville, NC 28117-8026
Phone (704) 799-6824
Other practice location 1
134 Infield Ct
Mooresville, NC 28117-8026
Phone (704) 799-6824
Other providers in Kannapolis, NC
- Deshunda L. Brown
- Lester G Brown
- Paul Thomas Brown
- Tonya Michelle Brown
- Megan P Buckland
- Bradford Lynn Burgess
- Megan Burnham
- Tamara Michelle Burns
- Burrow Welchel Culp Moore PLLC-4
- Matthew N Busch
All providers in Kannapolis, NC · Behavior Analyst in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.