Colleen Ann Kelleher

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2105 Hartwood Marsh Rd Ste 7
Clermont, FL 34711-5390

Phone

(407) 720-5067

NPI assigned

Mar 23, 2023

Reactivated

Apr 6, 2023

Sex

Female

Sole proprietor

No

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": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1952004566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17335 PAGONIA RD STE 109",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116011",
            "telephone_number": "407-614-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 HARTWOOD MARSH RD STE 7",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115390",
            "telephone_number": "407-720-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "COLLEEN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "deactivation_date": "2023-03-23",
        "reactivation_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Punita Kaveti, MD
• Stephanie Nicole Kay
• Denise Kazmierczak, D.O.
• Deborah Keel
• Amber Nicole Keeling
• Tori T. Kelley, PH.D.
• Cayla Josephine Kelly
• Mary Margaret Kelly, NP
• Matthew Patrick Kelly
• Kelsay Home Care, LLC

• Behavior Analyst in Clermont, FL
• Providers in Clermont, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.