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KELLSEA AGNES LEE CLYDE
NPI 1699472076
Behavior Analyst in San Bruno, CA

Active since February 15, 2023
23 PACIFIC BAY CIR APT 106, SAN BRUNO, CA 94066(415) 310-6495 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellsea Agnes Lee Clyde NPPES

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

KELLSEA AGNES LEE CLYDE (NPI 1699472076) is an individual behavior analyst provider in San Bruno, California and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1699472076
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKELLSEA AGNES LEE CLYDE
Location Address23 PACIFIC BAY CIR APT 106San Bruno, CA 94066-6140
Mailing Address7108 S Kanner HwyStuart, FL 34997-7462 · (772) 349-6317
Phone(415) 310-6495
Sole ProprietorNo
Enumeration DateFebruary 15, 2023
NPPES CertifiedFebruary 15, 2023
✔ NPI 1699472076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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.
23 PACIFIC BAY CIR APT 106, San Bruno, CA 94066
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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 Kellsea Clyde's NPI number?

The NPI number for Kellsea Clyde is 1699472076. It was assigned to this individual provider in the NPPES registry on February 15, 2023.

Where is Kellsea Clyde located?

Kellsea Clyde practices at 23 Pacific Bay Cir Apt 106, San Bruno, CA 94066. The listed phone number is (415) 310-6495.

What is Kellsea Clyde's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellsea Clyde was last updated on February 15, 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.