Individual provider · Type 1 NPI

Tiffany Kelly, BCBA

Behavior Analyst · St. Marys, GA

NPI number 1669193843 Active

Practice location

107 Industrial Dr Ste E
St. Marys, GA 31558-4436

Fax (912) 576-7075

Mailing address

112 Cambray Cir
St. Marys, GA 31558-3502

Other practice locations

  • 10545 Colerain Rd, St. Marys, GA 31558-3720 · (912) 266-8686

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XLBA002919 (GA)
Behavior Analyst 103K00000X0133005355 (VA)
Assistant Behavior Analyst 106E00000XNone listed
Behavior Technician 106S00000XRBT-22-206597 (IN)

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 1669193843

Tiffany Kelly, BCBA's National Provider Identifier is 1669193843, issued on Sep 7, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in St. Marys, GA. The record was last updated on Sep 20, 2026.