Organization Active NPI

Kelly Ann Consulting, LLC

  • Behavior Analyst
  • Blairstown, NJ
National Provider Identifier
1770823429
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-10172 Issued in NJ
Legal business name
KELLY ANN CONSULTING, LLC
Practice address
1 Gapview Ave
Blairstown, NJ 07825-3530
Phone
(908) 581-0786
Fax
(908) 459-4018
NPI assigned
Feb 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Ms. Kelly Ann Carlile, MA, BCBANPI 1689931685
Title
Owner
Phone
(908) 581-0786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-12-10172 NJ Primary

Addresses

Primary practice location

1 Gapview Ave
Blairstown, NJ 07825-3530

Mailing address

PO Box 24
10 Blairstown Road
Hope, NJ 07844-0024
Phone (908) 581-0786

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1770823429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "address_2": "10 BLAIRSTOWN ROAD",
            "city": "HOPE",
            "state": "NJ",
            "postal_code": "078440024",
            "telephone_number": "908-581-0786",
            "fax_number": "908-459-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GAPVIEW AVE",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078253530",
            "telephone_number": "908-581-0786",
            "fax_number": "908-459-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY ANN CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-17",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "CARLILE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-581-0786",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-12-10172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.