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JACK KELLY BCBA
NPI 1396383030
Behavior Analyst in Lake Bluff, IL

Active since December 12, 2019
917 SHERWOOD DR STE 201, LAKE BLUFF, IL 60044(877) 486-4140 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2021, Dec 12, 2019 (2 updates tracked since 2019).

About Jack Kelly Bcba NPPES

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

JACK KELLY BCBA (NPI 1396383030) is an individual behavior analyst provider in Lake Bluff, Illinois, licensed in Illinois (1-20-45283) and active in the NPI registry since December 2019. He maintains a secondary practice location in Naperville.

NPPES Registry Identity

NPI1396383030
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJACK KELLYCredential: BCBA
Location Address917 SHERWOOD DR STE 201Lake Bluff, IL 60044-2235
Mailing Address426 W Belmont Ave Apt 807Chicago, IL 60657-4721 · (773) 386-4024
Phone(877) 486-4140
Sole ProprietorNo
Enumeration DateDecember 12, 2019
Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1396383030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in IL · 1-20-45283
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.
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X
917 SHERWOOD DR STE 201, Lake Bluff, IL 60044
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Secondary Practice Location 1

Location 11975 McDowell Rd. #101Naperville, IL 60563 · Phone (331) 229-8839

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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.

KRISTEN MARTIN MS, OTR/L
Occupational Therapist
917 SHERWOOD DR STE 201
LAKE BLUFF, IL 60044
Lake County (877) 486-4140
MARISSA KEO
Behavior Technician
917 SHERWOOD DR STE 201
LAKE BLUFF, IL 60044
Lake County (877) 486-4140
PATRICIA SUZANNE KEATING-SKARONEA
Behavior Technician
917 SHERWOOD DR STE 201
LAKE BLUFF, IL 60044
Lake County (866) 815-6592
MARILIA COUTINHO ESPINOLA
Behavior Technician
917 SHERWOOD DR STE 201
LAKE BLUFF, IL 60044
Lake County (877) 486-4140
MELANY FUENTES
Behavior Technician
917 SHERWOOD DR STE 201
LAKE BLUFF, IL 60044
Lake County (877) 486-4140
SIERRA JONES OTR/L
Occupational Therapist
917 SHERWOOD DR STE 201
LAKE BLUFF, IL 60044
Lake County (877) 486-4140
MRS. WANDA IVETTE CINTRON
Social Worker (School)
917 SHERWOOD DR STE 201
LAKE BLUFF, IL 60044
Lake County (877) 486-4140
BRIANNA CAMILLE RIVERA
Behavior Technician
917 SHERWOOD DR STE 201
LAKE BLUFF, IL 60044
Lake County (877) 486-4140

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 Jack Kelly's NPI number?

The NPI number for Jack Kelly is 1396383030. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Jack Kelly located?

Jack Kelly practices at 917 Sherwood Dr Ste 201, Lake Bluff, IL 60044. The listed phone number is (877) 486-4140.

What is Jack Kelly's specialty?

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

What insurance does Jack Kelly accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Jack 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 Jack Kelly was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.