Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891013470 Individual Practitioner Female Practitioner

Kelly Trutter , BCBA

Behavior Analyst • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Kelly Trutter, BCBA is a registered healthcare professional specializing in Behavior Analyst in Springfield, IL. Practice services are available at 5221 6TH STREET FRONTAGE RD E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5221 6th Street Frontage Rd E

Springfield, IL 627035190

Telephone 9167523961
Associated Practice Facility / Clinic
🏢 Clover Solutions Llc Facility NPI 1144814773

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
45 Specialists

Practicing in Springfield, IL (3105 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: 2021-02-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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

6 Associated Practitioners
Shawnee Jackson , RBT

Behavior Technician

NPI 1508651829

Registered Behavior Technician

Aubreann Pfaff

Behavior Technician

NPI 1528925880
Jakayla Young

Behavior Technician

NPI 1700754975
Samantha Staples , RBT

Behavior Technician

NPI 1700766995

Registered Behavior Technician

Suzanne Vanderslik

Behavior Technician

NPI 1801771258
Olivia Hinojosa

Behavior Technician

NPI 1861260853

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location February 24, 2021

Registered at 5221 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 627035190 (Tel: 9167523961)

NPI Profile Active May 06, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2010

Registered at 2423 CULPEPPER WAY, LINCOLN, CA 956487833 (Tel: 9167523961)

📍
Updated Business Mailing Address May 06, 2010

Registered at 2423 CULPEPPER WAY, LINCOLN, CA 956487833 (Tel: 9167523961)

👤
Provider Name / Credentials Updated May 06, 2010

Recorded as KELLY TRUTTER, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2010

Behavior Analyst

🟢
Initial NPI Registration & Enumeration May 06, 2010

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: 1891013470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2010
Last Update: February 24, 2021
Sole Proprietor: Yes

Mailing Address

2423 Culpepper Way

Lincoln, CA 956487833

Phone: 9167523961

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.