The Kelly Behavioral Institute LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE KELLY BEHAVIORAL INSTITUTE LLC

Practice address

1060 Woodcock Rd
Orlando, FL 32803-3502

Phone

(407) 893-0242

Fax

(407) 286-3840

NPI assigned

Jul 8, 2022

Last updated

Jul 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana Ahumada

Title

Chief Executive Officer

Phone

(407) 893-0241

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1710610498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WOODCOCK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033502",
            "telephone_number": "407-893-0242",
            "fax_number": "407-286-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WOODCOCK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033502",
            "telephone_number": "407-893-0242",
            "fax_number": "407-286-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KELLY BEHAVIORAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "AHUMADA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-893-0241"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Institute of Diabetic Neuropathy
• The Institute of Rheumatology and Lifestyle Medicine
• The Islands Alf, Inc.
• The Islands Alf, Inc.
• The Joshua Group LLC (Serenity Home Care)
• The Kenkou Group - South, LLC
• The King Solomon Foundation
• The Lactation Network, LLC
• The Lady Well Consulting, LLC.
• The Lakota Medical

• Behavior Analyst in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.