TRACI KELLY M.ED, BCBA
NPI 1003406554
Behavior Analyst in Fort Worth, TX

Active since January 19, 2021
9636 LEA SHORE ST, FORT WORTH, TX 76179(817) 682-0163 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Traci Kelly M.ed, Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI KELLY M.ED, BCBA (NPI 1003406554) is an individual behavior analyst provider in Fort Worth, Texas, licensed in Texas (1-21-47100) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1003406554
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameTRACI KELLYCredential: M.ED, BCBA
Location Address9636 LEA SHORE STFort Worth, TX 76179-3225
Mailing Address9636 Lea Shore StFort Worth, TX 76179-3225 · (817) 682-0163
Sole ProprietorYes
Enumeration DateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
NPI 1003406554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in TX · 1-21-47100
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
9636 LEA SHORE ST, Fort Worth, TX 76179

Other Names 1

Other Name (5)Ms. Traci Ann Kelly M.ed, Bcba

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Kelly's NPI number?

The NPI number for Traci Kelly is 1003406554. It was assigned to this individual provider in the NPPES registry on January 19, 2021. The provider is also known as Ms. Traci Ann Kelly M.Ed, Bcba.

Where is Traci Kelly located?

Traci Kelly practices at 9636 Lea Shore St, Fort Worth, TX 76179. The listed phone number is (817) 682-0163.

What is Traci Kelly's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Traci Kelly accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community Health Choice and WellPoint list Traci Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Traci Kelly was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.