MADELINE GRACE KELLY
NPI 1174305361
Behavior Technician in San Luis Obispo, CA

Active since October 20, 2023
369 SQUIRE CANYON RD UNIT B, SAN LUIS OBISPO, CA 93401(760) 607-7936 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Madeline Grace Kelly NPPES

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

MADELINE GRACE KELLY (NPI 1174305361) is an individual behavior technician in San Luis Obispo, California and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1174305361
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMADELINE GRACE KELLY
Location Address369 SQUIRE CANYON RD UNIT BSan Luis Obispo, CA 93401-8002
Mailing Address7108 S Kanner HwyStuart, FL 34997-7462
Sole ProprietorNo
Enumeration DateOctober 20, 2023
NPPES CertifiedOctober 20, 2023
✔ NPI 1174305361 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.
369 SQUIRE CANYON RD UNIT B, San Luis Obispo, CA 93401

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 Madeline Kelly's NPI number?

The NPI number for Madeline Kelly is 1174305361. It was assigned to this individual provider in the NPPES registry on October 20, 2023.

Where is Madeline Kelly located?

Madeline Kelly practices at 369 Squire Canyon Rd Unit B, San Luis Obispo, CA 93401. The listed phone number is (760) 607-7936.

What is Madeline 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 Madeline Kelly was last updated on October 20, 2023. 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.