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KEELY ANN BOUTWELL BCBA
NPI 1063921526
Behavior Analyst in Austin, TX

Active since September 27, 2017
12812 APPALOOSA CHASE DR, AUSTIN, TX 78732(512) 636-5467 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keely Ann Boutwell Bcba NPPES

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

KEELY ANN BOUTWELL BCBA (NPI 1063921526) is an individual behavior analyst provider in Austin, Texas, licensed in Texas (1-17-27612) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1063921526
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKEELY ANN BOUTWELLCredential: BCBA
Location Address12812 APPALOOSA CHASE DRAustin, TX 78732-1971
Mailing Address761 Trinity Hills Dr Apt 3110Austin, TX 78737-4786 · (512) 585-3686
Phone(512) 636-5467
Sole ProprietorNo
Enumeration DateSeptember 27, 2017
Last NPPES UpdateOctober 2, 2017
✔ NPI 1063921526 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 · 1-17-27612
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.
12812 APPALOOSA CHASE DR, Austin, TX 78732
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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 Keely Boutwell's NPI number?

The NPI number for Keely Boutwell is 1063921526. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Where is Keely Boutwell located?

Keely Boutwell practices at 12812 Appaloosa Chase Dr, Austin, TX 78732. The listed phone number is (512) 636-5467.

What is Keely Boutwell's specialty?

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

When was this NPI record last updated?

The NPPES record for Keely Boutwell was last updated on October 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.