Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285108027 Individual Practitioner Female Practitioner

Amanda Kyla Kelly , MED, BCBA

Behavior Analyst • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Amanda Kelly, MED, BCBA is a registered healthcare professional specializing in Behavior Analyst in Jacksonville, FL. Practice services are available at 7775 BAYMEADOWS WAY STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7775 Baymeadows Way Ste 200

Jacksonville, FL 322567531

Telephone 9048313974
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
492 Specialists

Practicing in Jacksonville, FL (13679 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: 2024-10-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-19-40066

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License GA 1-19-40066

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License CO 1-19-40066

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.

Secondary Practice Locations

54 Salt Marsh Dr

Midway, GA 313206887

Phone: 7323302446

11177 W 8th Ave

Lakewood, CO 802155575

Phone: 7192039947

105 Grand Central Blvd Ste 101

Pooler, GA 313224146

Phone: 9123881035

Practice Associates & Co-Workers

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

18 Associated Practitioners
Niya Sexton

Behavior Technician

NPI 1023983285
Charlotte Ellegood

Behavior Technician

NPI 1033836978
Karla Sanchez

Behavior Technician

NPI 1033957360
Jimmya Neely

Behavior Technician

NPI 1053113142
Marjorie-Joi Boyd

Behavior Technician

NPI 1053118430
Alexondria Justice

Behavior Technician

NPI 1114813011

Career & Practice History Timeline

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

17 Historical Events
👤
Provider Name / Credentials Updated October 16, 2024

Recorded as AMANDA KELLY, MED, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2024

Behavior Analyst (License #1-19-40066 in GA)

📍
Updated Practice Location June 20, 2023

Registered at 7775 BAYMEADOWS WAY STE 200, JACKSONVILLE, FL 322567531 (Tel: 9048313974)

📍
Updated Practice Location November 02, 2022

Registered at 105 GRAND CENTRAL BLVD STE 101, POOLER, GA 313224146 (Tel: 9123881035)

📍
Updated Business Mailing Address November 02, 2022

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028 (Tel: 8666100580)

📍
Updated Practice Location March 25, 2022

Registered at 500 NORTHSIDE XING STE A, MACON, GA 312102377 (Tel: 7323302446)

📍
Updated Business Mailing Address March 25, 2022

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 7323302446)

👤
Provider Name / Credentials Updated March 25, 2022

Recorded as AMANDA LOUTH, MED, BCBA

📍
Updated Practice Location January 23, 2020

Registered at 11177 W 8TH AVE, LAKEWOOD, CO 802155575 (Tel: 7192039947)

📍
Updated Business Mailing Address January 23, 2020

Registered at 115 WILCOX ST APT 1620, CASTLE ROCK, CO 801042048 (Tel: 7323302446)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2020

Behavior Analyst (License #1-19-40066 in CO)

NPI Profile Active January 25, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2019

Registered at 5540 N ACADEMY BLVD STE 121, COLORADO SPRINGS, CO 809183674 (Tel: 7192039947)

📍
Updated Business Mailing Address January 25, 2019

Registered at 1189 S EATON CIR APT 3C, CASTLE ROCK, CO 801042387

👤
Provider Name / Credentials Updated January 25, 2019

Recorded as AMANDA LOUTH, MA, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration January 15, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1285108027
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2019
Last Update: October 16, 2024
Sole Proprietor: No

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

Phone: 8666100580

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.