KELLY PHILLIPS BCBA
NPI 1881185536
Behavior Analyst in Fort Wayne, IN

Active since May 29, 2018
3030 LAKE AVE STE 20, FORT WAYNE, IN 46805(260) 420-9332(866) 446-0198 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2019, Oct 12, 2018 (2 updates tracked since 2018).

About Kelly Phillips Bcba NPPES

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

KELLY PHILLIPS BCBA (NPI 1881185536) is an individual behavior analyst provider in Fort Wayne, Indiana, licensed in Indiana (1-18-31563) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1881185536
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKELLY PHILLIPSCredential: BCBA
Location Address3030 LAKE AVE STE 20Fort Wayne, IN 46805-5428
Mailing Address4103 Castell DrFort Wayne, IN 46835-2100 · (765) 730-3691
Fax(866) 446-0198
Sole ProprietorNo
Enumeration DateMay 29, 2018
Last NPPES UpdateFebruary 15, 20192 updates tracked since enumeration
NPI 1881185536 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 IN · 1-18-31563
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.
3030 LAKE AVE STE 20, Fort Wayne, IN 46805

Other Names 1

Former Name (1)Kelly Scholer

Accepted Insurance

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.

Behavior Analyst
3030 LAKE AVE STE 20
FORT WAYNE, IN 46805
Behavior Analyst
3030 LAKE AVE STE 20
FORT WAYNE, IN 46805

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 Phillips's NPI number?

The NPI number for Kelly Phillips is 1881185536. It was assigned to this individual provider in the NPPES registry on May 29, 2018. The provider is also known as Kelly Scholer.

Where is Kelly Phillips located?

Kelly Phillips practices at 3030 Lake Ave Ste 20, Fort Wayne, IN 46805. The listed phone number is (260) 420-9332.

What is Kelly Phillips's specialty?

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

What insurance does Kelly Phillips accept?

Health plans from CareSource list Kelly Phillips 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 Kelly Phillips was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.