Active NPI
Laree C Kelly-Warner, MA, BCBA
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1841336971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-06-2879
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1062879 | CO | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laree Kelly-Warner, Ma, Bcba, P.C. | Behavior Analyst | Current | Accepting new patients |
| Laree Kelly-Warner, Ma, Bcba, P.C. | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Colorado Springs, CO
- NPI 1811436256
-
- Behavior Analyst
- Colorado Springs, CO
- NPI 1861633604
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.