DUSTIN MICHAEL KELLY BS
NPI 1144730284
Behavior Technician in Wyoming, MI

Active since October 03, 2017
1428 44TH ST SW, WYOMING, MI 49509(616) 262-1114 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dustin Michael Kelly Bs NPPES

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

DUSTIN MICHAEL KELLY BS (NPI 1144730284) is an individual behavior technician in Wyoming, Michigan and active in the NPI registry since October 2017. He maintains a secondary practice location in Kentwood.

NPPES Registry Identity

NPI1144730284
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameDUSTIN MICHAEL KELLYCredential: BS
Location Address1428 44TH ST SWWyoming, MI 49509
Mailing Address1428 44th St SwWyoming, MI 49509-4312 · (616) 262-1114
Sole ProprietorNo
Enumeration DateOctober 3, 2017
Last NPPES UpdateOctober 7, 2019
NPI 1144730284 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.
1428 44TH ST SW, Wyoming, MI 49509

Secondary Practice Location 1

Location 15366 Eastern Ave SEKentwood, MI 49508-6018 · Phone (616) 608-3665

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
1428 44TH ST SW
WYOMING, MI 49509
Behavior Technician
1428 44TH ST SW
WYOMING, MI 49509
Behavior Technician
1428 44TH ST SW
WYOMING, MI 49509
Psychologist (School)
1428 44TH ST SW
WYOMING, MI 49509
Behavior Technician
1428 44TH ST SW
WYOMING, MI 49509
Behavior Technician
1428 44TH ST SW
WYOMING, MI 49509
Behavior Technician
1428 44TH ST SW
WYOMING, MI 49509
Behavior Technician
1428 44TH ST SW
WYOMING, MI 49509

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 Dustin Kelly's NPI number?

The NPI number for Dustin Kelly is 1144730284. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Where is Dustin Kelly located?

Dustin Kelly practices at 1428 44th St SW, Wyoming, MI 49509. The listed phone number is (616) 262-1114.

What is Dustin Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Dustin Kelly was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.