Active NPI
Ellen Mae Kehoe, BCBA
- Behavior Analyst
- Chula Vista, CA
National Provider Identifier
1780317164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-78802
- Practice address
- 310 3Rd Ave Ste B8
Chula Vista, CA 91910-3990 - Phone
- (855) 223-7123
- Fax
- (619) 374-7134
- NPI assigned
- Jul 5, 2022
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-24-15209 | CA | |
| Behavior Analyst | 103K00000X | 1-25-78802 | CA | Primary |
Addresses
Primary practice location
310 3Rd Ave Ste B8
Chula Vista, CA 91910-3990
Mailing address
PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1780317164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33568",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633568",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 3RD AVE STE B8",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919103990",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHOE",
"first_name": "ELLEN",
"middle_name": "MAE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "CA",
"license": "0-24-15209",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-25-78802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
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- Nadia Keddo
- Nekisha Michelle Kee, MSW
- Julie A Keeler, DO
- Keyshira Monee Keeling
- Keith J Biscotti Chiropractic Inc (South Bay Family Chiropractic)
- Christina M Kelley, DNP, AGCNS-BC
- Rachel Kelley, FNP-BC
- Kim My Kelly, OD
- Walter Kelly, H.I.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.