Individual provider Active NPI

Laree C Kelly-Warner, MA, BCBA

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1841336971
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-06-2879 Issued in CO
Practice address
1322 N Academy Blvd Ste 204
Colorado Springs, CO 80909-3320
Phone
(719) 638-8844
Fax
(719) 638-8115
NPI assigned
Jan 29, 2007
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 1062879 CO
Behavior Analyst 103K00000X 1-06-2879 CO Primary

Addresses

Primary practice location

1322 N Academy Blvd Ste 204
Colorado Springs, CO 80909-3320

Mailing address

PO Box 76510
Colorado Springs, CO 80970-6510
Phone (719) 638-8844

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 Arts

State licenses

LicenseStateTypeSpecialty
1062879COMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laree Kelly-Warner, Ma, Bcba, P.C. Behavior Analyst CurrentSince Feb 1, 2022 Accepting new patients
Laree Kelly-Warner, Ma, Bcba, P.C. Behavior Analyst CurrentSince Feb 1, 2022 Accepting new patients

Locations

1322 N Academy Blvd
Ste 204
Colorado Springs, CO 80909
Phone (719) 210-7464

1322 N Academy Blvd
Ste 222
Colorado Springs, CO 80909

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1841336971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76510",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809706510",
            "telephone_number": "719-638-8844",
            "fax_number": "719-638-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 N ACADEMY BLVD STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093320",
            "telephone_number": "719-638-8844",
            "fax_number": "719-638-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-WARNER",
        "first_name": "LAREE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CO",
            "license": "1062879",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-06-2879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.