Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KIMBERLY KELLY
NPI 1407778228
Behavior Technician in San Mateo, CA

Active since July 27, 2026
424 PENINSULA AVE, SAN MATEO, CA 94401(650) 286-4396 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Kelly NPPES

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

KIMBERLY KELLY (NPI 1407778228) is an individual behavior technician in San Mateo, California and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1407778228
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKIMBERLY KELLY
Location Address424 PENINSULA AVESan Mateo, CA 94401-1653
Mailing Address2112 Colfax WayAntioch, CA 94509-5707
Sole ProprietorNo
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 26, 2026
NPI 1407778228 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.
424 PENINSULA AVE, San Mateo, CA 94401

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 Analyst
424 PENINSULA AVE
SAN MATEO, CA 94401
Behavior Technician
424 PENINSULA AVE
SAN MATEO, CA 94401
Behavior Technician
424 PENINSULA AVE
SAN MATEO, CA 94401
Behavior Analyst
424 PENINSULA AVE
SAN MATEO, CA 94401
Behavior Technician
424 PENINSULA AVE
SAN MATEO, CA 94401
Behavior Technician
424 PENINSULA AVE
SAN MATEO, CA 94401
Behavior Technician
424 PENINSULA AVE
SAN MATEO, CA 94401
Behavior Technician
424 PENINSULA AVE
SAN MATEO, CA 94401

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 Kimberly Kelly's NPI number?

The NPI number for Kimberly Kelly is 1407778228. It was assigned to this individual provider in the NPPES registry on July 27, 2026.

Where is Kimberly Kelly located?

Kimberly Kelly practices at 424 Peninsula Ave, San Mateo, CA 94401. The listed phone number is (650) 286-4396.

What is Kimberly 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 Kimberly Kelly was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.