Kelley Haggerty

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1815 Font LN
Holiday, FL 34691-4646

Phone

(727) 808-6595

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 2024By the provider in NPPES

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

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": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1992557292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 FONT LN",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346914646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 FONT LN",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346914646",
            "telephone_number": "727-808-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "KELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Griseta, LICENSED COUNSELOR
• Gulf Coast Jewish Family and Community Services
• Gulf Coast Jewish Family and Community Services, Inc.
• Gulf Coast Jewish Family Services
• Laura Habner
• Jennifer Sue Hall, APRN
• Spencer Hammelman, LCSW
• Mari Hanna
• Randolph Clyde Harding, DC
• Harmony Medical Inc

• Behavior Technician in Holiday, FL
• Providers in Holiday, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.