Individual provider Active NPI

Natasha Kellis, M.ED, BCBA, LBA

  • Behavior Analyst
  • Houston, TX
National Provider Identifier
1669002523
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3181 Issued in TX
Practice address
507 Aurora St
Houston, TX 77008-2329
Phone
(832) 769-9086
NPI assigned
Jan 20, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 3181 TX Primary

Addresses

Primary practice location

507 Aurora St
Houston, TX 77008-2329

Mailing address

1525 Oxford St
Houston, TX 77008-4547
Phone (832) 769-9086

Other identifiers 2

IdentifierTypeStateIssuer
3181OtherTXTEXAS LISCENSE BEHAVIOR ANALYST
1-19-40400OtherBACB

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL Natasha.kellis@thelilycenter.com Direct

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 Education

Practice roles

OrganizationSpecialtyStatusNew patients
Lily Center Behavior Analyst PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669002523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 OXFORD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084547",
            "telephone_number": "832-769-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 AURORA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082329",
            "telephone_number": "832-769-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLIS",
        "first_name": "NATASHA",
        "credential": "M.ED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LISCENSE BEHAVIOR ANALYST",
            "identifier": "3181",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-19-40400",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Natasha.kellis@thelilycenter.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "507 Aurora St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770082329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.