Individual provider · Type 1 NPI

Madison Kelly

Behavior Analyst · Gulfport, MS

NPI number 1295596393 Active

Practice location

15489 Dedeaux Rd
Gulfport, MS 39503-2667

Call (228) 357-5671 Map

Fax (228) 357-5708

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X261023 (MS)
Behavior Technician 106S00000XNone listed

Behavior Analyst: 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…

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About NPI 1295596393

Madison Kelly's National Provider Identifier is 1295596393, issued on Jan 17, 2024. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Gulfport, MS. The record was last updated on Jul 20, 2026.