Individual provider Active NPI

Kristin Kelly

  • Behavior Technician
  • Brooklyn, OH
National Provider Identifier
1962359588
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-391405 Issued in OH
Practice address
7580 Northcliff Ave
Brooklyn, OH 44144-3270
Phone
(248) 846-8700
Fax
(248) 846-8703
NPI assigned
Mar 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-391405 OH Primary

Addresses

Primary practice location

7580 Northcliff Ave
Brooklyn, OH 44144-3270

Mailing address

2733 E 12TH St Ste C2
Brooklyn, NY 11235-4672
Phone (248) 846-8700

Other practice location 1

3801 Sharon Park Ln Ste 150
Cincinnati, OH 45241-4171
Phone (248) 846-8700

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

State licenses

LicenseStateTypeSpecialty
RBT-24-391405OHMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1962359588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 E 12TH ST STE C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354672",
            "telephone_number": "248-846-8700",
            "fax_number": "248-846-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 NORTHCLIFF AVE",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443270",
            "telephone_number": "248-846-8700",
            "fax_number": "248-846-8703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Sharon Park Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452414171",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "fax_number": "248-846-8703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "RBT-24-391405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.