Individual provider · Type 1 NPI

Jack Kelly, BCBA

Behavior Analyst · Lake Bluff, IL

NPI number 1396383030 Active

Practice location

917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235

Mailing address

426 W Belmont Ave Apt 807
Chicago, IL 60657-4721

Other practice locations

  • 1975 Mcdowell Rd. #101, Naperville, IL 60563 · (331) 229-8839

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst 106E00000XNone listed
Behavior Analyst Primary 103K00000X1-20-45283 (IL)

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 1396383030

Jack Kelly, BCBA's National Provider Identifier is 1396383030, issued on Dec 12, 2019. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Lake Bluff, IL. The record was last updated on Aug 12, 2021.