Active NPI
Kellsie Bailey
- Behavior Analyst
- Troy, MI
National Provider Identifier
1881475002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-68526
- Practice address
- 100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283 - Phone
- (678) 894-1116
- NPI assigned
- Oct 12, 2023
- Last updated
- Oct 12, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-68526 | MI | Primary |
Addresses
Primary practice location
100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283
Mailing address
100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283
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": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1881475002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W BIG BEAVER RD STE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480845283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W BIG BEAVER RD STE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480845283",
"telephone_number": "678-894-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "KELLSIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "1-23-68526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.