Kelli Lavine

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

44 Union Blvd Ste 125
Lakewood, CO 80228-1856

Phone

(866) 523-4268

NPI assigned

Apr 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kelli Donnell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1851972913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399318",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941399318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 UNION BLVD STE 125",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281856",
            "telephone_number": "866-523-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "KELLI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "DONNELL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• K Michael Lauder, DDS
• Emily Jeanne Lauher, M.A. CCC-SLP
• Laura McCarthy PHD LMFT PLLC
• Monica Lee Laurila, DIPL. AC., L.AC.
• Jon David Lauritzen, BA
• Shannon Nicole Lawrence, COTA
• Jackson Lawrie
• Olivia Lawson, BA, MA, LAC, LPC
• Lawrence Lazar, MD
• Scott Lazaroff

• Behavior Technician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.