Active NPI
Whitlee Laina Kelley, BS
- Assistant Behavior Analyst
- Florence, AL
National Provider Identifier
1750772380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 112 Titan Drive
Florence, AL 35630 - Phone
- (256) 275-7089
- Fax
- (256) 341-0747
- NPI assigned
- Feb 18, 2015
- Reactivated
- Apr 24, 2019
- Last updated
- Apr 24, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Assistant Behavior Analyst | 106E00000X | NU | Primary |
Addresses
Primary practice location
112 Titan Drive
Florence, AL 35630
Mailing address
112 Titan Drive
Florence, AL 35630
Phone (256) 275-7089
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1750772380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 TITAN DRIVE",
"city": "FLORENCE",
"state": "AL",
"postal_code": "35630",
"telephone_number": "256-275-7089",
"fax_number": "256-341-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 TITAN DRIVE",
"city": "FLORENCE",
"state": "AL",
"postal_code": "35630",
"telephone_number": "256-275-7089",
"fax_number": "256-341-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "WHITLEE",
"middle_name": "LAINA",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-18",
"last_updated": "2019-04-24",
"deactivation_date": "2018-03-10",
"reactivation_date": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.