Kelly Bird

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

1910 Shaffer St
Kalamazoo, MI 49048-1604

Phone

(269) 382-9820

NPI assigned

Aug 23, 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 identifiers 1

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1912674433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SHAFFER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481604",
            "telephone_number": "269-382-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SHAFFER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481604",
            "telephone_number": "269-382-9820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Maple",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "MI",
            "postal_code": "490539523",
            "country_code": "US",
            "telephone_number": "269-910-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRD",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "L200465067833",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krysten Binfet, AT, ATC
• Bio-Medical Applications of Michigan, Inc.
• Baylee Biolette
• Vonda Biondo, PTA
• Brett D Birch, PA-C
• Anna Luna Birdsall, LLBSW
• Christopher Allan Birman, PHARM.D.
• Savannah Birmingham
• Birth Kalamazoo
• Andrea Marie Bishop, LMSW

• Assistant Behavior Analyst in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Assistant Behavior Analyst in Michigan

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