TARA KELLY
NPI 1992371504
Behavior Technician in Mystic, CT

Active since June 03, 2021
4 BROADWAY AVENUE EXT STE 3, MYSTIC, CT 06355(860) 980-3233 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara Kelly NPPES

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

TARA KELLY (NPI 1992371504) is an individual behavior technician in Mystic, Connecticut and active in the NPI registry since June 2021. She maintains a secondary practice location in Colchester.

NPPES Registry Identity

NPI1992371504
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameTARA KELLY
Location Address4 BROADWAY AVENUE EXT STE 3Mystic, CT 06355-2875
Mailing Address4 Broadway Avenue Ext Ste 3Mystic, CT 06355-2875 · (860) 980-3233
Sole ProprietorNo
Enumeration DateJune 3, 2021
NPPES CertifiedJune 3, 2021
NPI 1992371504 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.
4 BROADWAY AVENUE EXT STE 3, Mystic, CT 06355

Secondary Practice Location 1

Location 1336 Halls Hill RdColchester, CT 06415-1452 · Phone (860) 980-3233

Other Providers at the Same Location NPPES 14

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

Behavior Technician
4 BROADWAY AVENUE EXT STE 3
MYSTIC, CT 06355
Behavior Technician
4 BROADWAY AVENUE EXT STE 3
MYSTIC, CT 06355
Behavior Technician
4 BROADWAY AVENUE EXT STE 3
MYSTIC, CT 06355
Behavior Analyst
4 BROADWAY AVENUE EXT STE 3
MYSTIC, CT 06355
Behavior Technician
4 BROADWAY AVENUE EXT STE 3
MYSTIC, CT 06355
Behavior Technician
4 BROADWAY AVENUE EXT STE 3
MYSTIC, CT 06355
Behavior Technician
4 BROADWAY AVENUE EXT STE 3
MYSTIC, CT 06355
Behavior Technician
4 BROADWAY AVENUE EXT STE 3
MYSTIC, CT 06355

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 Tara Kelly's NPI number?

The NPI number for Tara Kelly is 1992371504. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Tara Kelly located?

Tara Kelly practices at 4 Broadway Avenue Ext Ste 3, Mystic, CT 06355. The listed phone number is (860) 980-3233.

What is Tara 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 Tara Kelly was last updated on June 3, 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.