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Active NPI 1598993099 Individual Practitioner Female Practitioner

Kellie Bynum , BCBA

Behavior Analyst • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Kellie Bynum, BCBA is a registered healthcare professional specializing in Behavior Analyst in Phoenix, AZ. Practice services are available at 11221 N 28TH DR BLDG E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11221 N 28th Dr Bldg E

Phoenix, AZ 850295615

Telephone 6029972233
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Phoenix, AZ

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

Practicing in Phoenix, 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

CMS Verified: 2023-01-31
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License AZ BEH-000080

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.

Practice Associates & Co-Workers

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

16 Associated Practitioners
Jacqueline Billeci

Counselor - Professional

NPI 1023860590
Brinthy Moorthy

Student in an Organized Health Care Education/Training Program

NPI 1043861727
Johanna Lippert , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1093893927

Nurse Practitioner

Dr. Arash Zamanian , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1184924904

Doctor of Medicine (M.D.)

Brian Colwell , LPC

Counselor - Mental Health

NPI 1235764648

Licensed Professional Counselor

Carissa Higgins , MSN, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1265456156

Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 31, 2023

Registered at 11221 N 28TH DR BLDG E, PHOENIX, AZ 850295615 (Tel: 6029972233)

📍
Updated Business Mailing Address January 31, 2023

Registered at 3450 N 3RD ST, PHOENIX, AZ 850122331 (Tel: 6023516904)

👤
Provider Name / Credentials Updated January 31, 2023

Recorded as KELLIE BYNUM, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2023

Behavior Analyst (License #BEH-000080 in AZ)

NPI Profile Active June 24, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2009

Registered at 610 E BASELINE RD STE 101, TEMPE, AZ 852831204 (Tel: 4808396000)

📍
Updated Business Mailing Address June 24, 2009

Registered at 600 E BASELINE RD STE B-6, TEMPE, AZ 852831266 (Tel: 4808396000)

👤
Provider Name / Credentials Updated June 24, 2009

Recorded as KELLIE BYNUM, BCABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2009

Behavior Analyst (License #0-08-2442 in AZ)

🟢
Initial NPI Registration & Enumeration June 24, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598993099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2009
Last Update: January 31, 2023
Sole Proprietor: No

Mailing Address

3450 N 3rd St

Phoenix, AZ 850122331

Phone: 6023516904

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.