Individual provider · Type 1 NPI

Summer Kellis

Behavior Technician · Fort Worth, TX

NPI number 1144125576 Active

Practice location

1100 Circle Dr
Fort Worth, TX 76119-8111

Mailing address

5700 Sandshell Ct Apt 38101
Fort Worth, TX 76137-2986

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: 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…

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About NPI 1144125576

Summer Kellis's National Provider Identifier is 1144125576, issued on Oct 14, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 14, 2026.