Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578032629 Individual Practitioner Female Practitioner

Kellie Bohlke , BCBA

Behavior Analyst • Santa Cruz, CA

Professional Overview & Biography Verified Profile Summary

Kellie Bohlke, BCBA is a registered healthcare professional specializing in Behavior Analyst in Santa Cruz, CA. Practice services are available at 521 38TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

521 38th Ave

Santa Cruz, CA 950625524

Telephone 9524573963
Associated Practice Facility / Clinic
🏢 Beyond Behavior Therapy Facility NPI 1265259519

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Santa Cruz, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
34 Specialists

Practicing in Santa Cruz, CA (20508 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: 2024-12-18
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 12041212

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.

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location December 18, 2024

Registered at 521 38TH AVE, SANTA CRUZ, CA 950625524 (Tel: 9524573963)

📍
Updated Business Mailing Address December 18, 2024

Registered at 521 38TH AVE, SANTA CRUZ, CA 950625524 (Tel: 9524573963)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2024

Behavior Analyst (License #12041212 in CA)

📍
Updated Practice Location August 24, 2022

Registered at 228 HAMILTON AVE FL 3, PALO ALTO, CA 943012583 (Tel: 9524573963)

📍
Updated Business Mailing Address August 24, 2022

Registered at 228 HAMILTON AVE FL 3, PALO ALTO, CA 943012583

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2022

Behavior Technician

📍
Updated Practice Location July 01, 2021

Registered at 2262 HARVARD ST, PALO ALTO, CA 943061351 (Tel: 9524573963)

📍
Updated Business Mailing Address July 01, 2021

Registered at 2262 HARVARD ST, PALO ALTO, CA 943061351

👤
Provider Name / Credentials Updated July 01, 2021

Recorded as KELLIE BOHLKE, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2021

Behavior Analyst (License #12041212 in CA)

NPI Profile Active November 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2018

Registered at 749 37TH AVE, SANTA CRUZ, CA 950625124 (Tel: 8443227483)

📍
Updated Business Mailing Address November 19, 2018

Registered at 749 37TH AVE, SANTA CRUZ, CA 950625124 (Tel: 8443227483)

👤
Provider Name / Credentials Updated November 19, 2018

Recorded as KELLIE BOHLKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration November 19, 2018

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: 1578032629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2018
Last Update: December 18, 2024
Sole Proprietor: No

Mailing Address

521 38th Ave

Santa Cruz, CA 950625524

Phone: 9524573963

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.