KELLY RYAN MAC CORMAC
NPI 1831776228
Behavior Technician in Fresno, CA

Active since March 24, 2021
126 E HARVARD AVE, FRESNO, CA 93704(925) 899-6293 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Ryan Mac Cormac NPPES

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

KELLY RYAN MAC CORMAC (NPI 1831776228) is an individual behavior technician in Fresno, California and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1831776228
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKELLY RYAN MAC CORMAC
Location Address126 E HARVARD AVEFresno, CA 93704-5326
Mailing Address7339 N 1st St Ste 105&110Fresno, CA 93720-2954 · (916) 740-1749
Sole ProprietorYes
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
NPI 1831776228 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.
126 E HARVARD AVE, Fresno, CA 93704

Other Names 1

Other Name (5)Kel Mac Cormac

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 Kelly Mac Cormac's NPI number?

The NPI number for Kelly Mac Cormac is 1831776228. It was assigned to this individual provider in the NPPES registry on March 24, 2021. The provider is also known as Kel Mac Cormac.

Where is Kelly Mac Cormac located?

Kelly Mac Cormac practices at 126 E Harvard Ave, Fresno, CA 93704. The listed phone number is (925) 899-6293.

What is Kelly Mac Cormac'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 Kelly Mac Cormac was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.