Individual provider Active NPI

Kelly Ann Mihalich, MED, BCBA, LABA

  • Behavior Analyst
  • Warwick, RI
National Provider Identifier
1912383142
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2482 Issued in MA
Practice address
215 Toll Gate Rd Ste 309
Warwick, RI 02886-4463
Phone
(401) 310-2220
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2482 MA Primary

Addresses

Primary practice location

215 Toll Gate Rd Ste 309
Warwick, RI 02886-4463

Mailing address

215 Toll Gate Rd Ste 309
Warwick, RI 02886-4463
Phone (401) 310-2220

Other practice location 1

25 Commercial Dr Ste 27
Wrentham, MA 02093-1688
Phone (617) 651-8819 ext. 108

Other names 1

  • Ms. Kelly Ann McDonald Former name

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 Education

State licenses

LicenseStateTypeSpecialty
2482MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Behavior Learning Centers Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1912383142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD STE 309",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864463",
            "telephone_number": "401-310-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD STE 309",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864463",
            "telephone_number": "401-310-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Commercial Dr Ste 27",
            "address_purpose": "LOCATION",
            "city": "Wrentham",
            "state": "MA",
            "postal_code": "020931688",
            "country_code": "US",
            "telephone_number": "617-651-8819 x108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHALICH",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MED, BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCDONALD",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.