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Deactivated NPI 1922493287 Deactivated / Inactive NPI Male Practitioner

Kevin Kelley , MS

Behavior Analyst • Lexington, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kevin Kelley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 03, 2015
NPI Deactivation Date January 17, 2022
Total Practice Duration ~7 Years of Practice (2015 – 2022)

Professional Overview & Biography Verified Profile Summary

Kevin Kelley, MS was a registered Behavior Analyst practicing in Lexington, MA. Throughout an active medical career spanning 7 years, Kevin Kelley provided care at the practice location at 1040 WALTHAM ST until profile deactivation on 2022-01-17.

Practice Location & Contact Primary Location

Practice Address

1040 Waltham St

Lexington, MA 024218033

Telephone 7818623600

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lexington, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
14 Specialists

Practicing in Lexington, MA (4758 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

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

40 Associated Practitioners
Paul Herbert , MS CAGS

Counselor - Mental Health

NPI 1023179082

MSCAGS

Jillian Orr

Counselor - Mental Health

NPI 1023715034
Molly Cowan , LCPC

Counselor - Mental Health

NPI 1033004726

Licensed Clinical Professional Counselor

Erin Brassil , LICSW

Social Worker - Clinical

NPI 1043900897

Licensed Independent Clinical Social Worker

Carolyn Claiborne

Registered Nurse - Psychiatric/Mental Health

NPI 1063784205
Karen Costura-Hoffman

Counselor - Mental Health

NPI 1073037081

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 17, 2022

Record deactivated on January 17, 2022

NPI Profile Active April 03, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 03, 2015

Registered at 1040 WALTHAM ST, LEXINGTON, MA 024218033 (Tel: 7818623600)

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Updated Business Mailing Address April 03, 2015

Registered at 1040 WALTHAM ST, LEXINGTON, MA 024218033

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Provider Name / Credentials Updated April 03, 2015

Recorded as KEVIN KELLEY, M.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2015

Behavior Analyst

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Initial NPI Registration & Enumeration April 03, 2015

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: 1922493287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2015
Last Update: April 03, 2015
Deactivation Date: January 17, 2022

Mailing Address

1040 Waltham St

Lexington, MA 024218033

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.