Donna Kelly, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

41690 Enterprise Cir N Ste 114
Temecula, CA 92590-5617

Phone

(951) 667-9631

NPI assigned

Feb 24, 2020

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1932733417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41690 ENTERPRISE CIR N STE 114",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905617",
            "telephone_number": "951-667-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41690 ENTERPRISE CIR N STE 114",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905617",
            "telephone_number": "951-667-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DONNA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kelley, LCSW
• Steven Thomas Kelley, M.D.
• Tamara Kelley
• Laura Kellogg
• Kelly Orchard, Marriage and Family Therapist, Inc.
• Daniel Kemmer, D.C.
• Sandra Kemp
• Tiera Kennedy-Vargas, RN,BSN
• Yenny Angelina Kennedy, DDS
• Kenneth M. Toy a Professional Chiropractic Corporation (Palomar Village Chiropractic)

• Behavior Analyst in Temecula, CA
• Providers in Temecula, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.