Active NPI
Kelli Dewett, MS, BCBA
- Behavior Analyst
- Sugar Land, TX
National Provider Identifier
1679005250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-25141
- Practice address
- 2205 Williams Trace Blvd Ste 101
Sugar Land, TX 77478-4443 - Phone
- (895) 329-7972
- NPI assigned
- Apr 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-17-25141 | CA | Primary |
Addresses
Primary practice location
2205 Williams Trace Blvd Ste 101
Sugar Land, TX 77478-4443
Mailing address
7210 Reading Rd Apt 622
Rosenberg, TX 77469-5292
Phone (760) 271-2656
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Behavior Analyst | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1679005250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7210 READING RD APT 622",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774695292",
"telephone_number": "760-271-2656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 WILLIAMS TRACE BLVD STE 101",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774784443",
"telephone_number": "895-329-7972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWETT",
"first_name": "KELLI",
"credential": "MS, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-01",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-17-25141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.