CARISSA KELLY
NPI 1104424456
Behavior Technician in Port St Lucie, FL

Active since October 09, 2020
1887 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 463-0444(772) 219-1339 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, Oct 9, 2020 (2 updates tracked since 2020).

About Carissa Kelly NPPES

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

CARISSA KELLY (NPI 1104424456) is an individual behavior technician in Port St Lucie, Florida and active in the NPI registry since October 2020. She maintains a secondary practice location in Wexford.

NPPES Registry Identity

NPI1104424456
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameCARISSA KELLY
Location Address1887 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5530
Mailing Address2215 Merion Dr Apt 206Melbourne, FL 32935-5619
Fax(772) 219-1339
Sole ProprietorYes
Enumeration DateOctober 9, 2020
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
NPI 1104424456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1887 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952

Secondary Practice Location 1

Location 15000 Stonewood DrWexford, PA 15090-8395 · Phone (724) 933-4673

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Behavior Analyst
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Behavior Analyst
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Behavior Technician
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952

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 Carissa Kelly's NPI number?

The NPI number for Carissa Kelly is 1104424456. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Carissa Kelly located?

Carissa Kelly practices at 1887 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 463-0444.

What is Carissa Kelly's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

What insurance does Carissa Kelly accept?

Health plans from UnitedHealthcare list Carissa 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 Carissa Kelly was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.