Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821581695 Individual Practitioner Female Practitioner

Kelly Ann Bridgeforth

Behavior Analyst • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Kelly Bridgeforth is a registered healthcare professional specializing in Behavior Analyst in Mesa, AZ. Practice services are available at 9221 E BASELINE RD STE 109 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9221 E Baseline Rd Ste 109

Mesa, AZ 852098314

Telephone 8053251421
Fax 4808959889
Associated Practice Facility / Clinic
🏢 Aba Schoolhouse Facility NPI 1477043255

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
158 Specialists

Practicing in Mesa, AZ (1778 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License AZ BEH-000349

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jennifer Job , OTA-L

Occupational Therapy Assistant

NPI 1538375647

OTAL

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2018

Registered at 9221 E BASELINE RD STE 109, MESA, AZ 852098314 (Tel: 8053251421)

📍
Updated Business Mailing Address June 07, 2018

Registered at 2730 S VALLE VERDE, MESA, AZ 852097886 (Tel: 8053251421)

👤
Provider Name / Credentials Updated June 07, 2018

Recorded as KELLY BRIDGEFORTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2018

Behavior Analyst (License #BEH-000349 in AZ)

🟢
Initial NPI Registration & Enumeration June 07, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1821581695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2018
Last Update: June 07, 2018
Sole Proprietor: Yes

Mailing Address

2730 S Valle Verde

Mesa, AZ 852097886

Phone: 8053251421

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.