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SHANNON MARIE KELLEY M.ED, BCBA
NPI 1700153327
Behavior Analyst in Fairfax, VA

Active since November 28, 2011
10530 WARWICK AVE, SUITE C5, FAIRFAX, VA 22030(703) 216-9230(571) 384-5815 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shannon Marie Kelley M.ed, Bcba NPPES

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

SHANNON MARIE KELLEY M.ED, BCBA (NPI 1700153327) is an individual behavior analyst provider in Fairfax, Virginia, licensed in Virginia (1-11-9387) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1700153327
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSHANNON MARIE KELLEYCredential: M.ED, BCBA
Location Address10530 WARWICK AVE, SUITE C5Fairfax, VA 22030-3132
Mailing Address10530 Warwick Ave, Suite C5Fairfax, VA 22030-3132 · (703) 216-9230 · Fax (571) 384-5815
Phone(703) 216-9230
Fax(571) 384-5815
Sole ProprietorNo
Enumeration DateNovember 28, 2011
Last NPPES UpdateSeptember 12, 2012
✔ NPI 1700153327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in VA · 1-11-9387
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.
10530 WARWICK AVE, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELAMAWIT HAGOS LBA, BCBA
Behavior Analyst
10530 WARWICK AVE, SUITE C2
FAIRFAX, VA 22030
Fairfax City (703) 994-4754
MARY BUCHANAN BCBA
Behavior Analyst
10530 WARWICK AVE, SUITE C2
FAIRFAX, VA 22030
Fairfax City (908) 500-3176

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 Shannon Kelley's NPI number?

The NPI number for Shannon Kelley is 1700153327. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Where is Shannon Kelley located?

Shannon Kelley practices at 10530 Warwick Ave Suite C5, Fairfax, VA 22030. The listed phone number is (703) 216-9230.

What is Shannon Kelley'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 Shannon Kelley was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.