Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790149060 Individual Practitioner Female Practitioner

Dr. Kelly Kohler , PhD, BCBA-D

Behavior Analyst • Mattawan, MI

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Kohler, PhD, BCBA-D is a registered healthcare professional specializing in Behavior Analyst in Mattawan, MI. Practice services are available at 23200 RED ARROW HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23200 Red Arrow Hwy

Mattawan, MI 490717774

Telephone 2693556621
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Mattawan, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Mattawan, MI (3207 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: 2022-07-12
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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID 1-10-7746
1-10-7746 (MI)
Commercial Insurance / Payer ID Behavior Analyst License
7401000234 (MI)

Practice Associates & Co-Workers

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

29 Associated Practitioners
Maureen Johnson

Behavior Technician

NPI 1043990179
Gabe Gamsho

Behavior Technician

NPI 1053264812
NPI 1134735186

Master of Arts, Board Certified Behavior Analyst, Licensed Behavior Analyst

Trent Eisenhauer

Behavior Technician

NPI 1154219905
Meet Patel

Behavior Technician

NPI 1164268678
Robin Medendorp

Behavior Technician

NPI 1174450704

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 23, 2022

Registered at 23200 RED ARROW HWY, MATTAWAN, MI 490717774 (Tel: 2693556621)

📍
Updated Business Mailing Address March 23, 2022

Registered at 23200 RED ARROW HWY, MATTAWAN, MI 490717774 (Tel: 2693556621)

NPI Profile Active April 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2016

Registered at 212 N CLARENDON ST, KALAMAZOO, MI 490064315 (Tel: 2695995769)

📍
Updated Business Mailing Address April 12, 2016

Registered at 212 N CLARENDON ST, KALAMAZOO, MI 490064315 (Tel: 2695995769)

👤
Provider Name / Credentials Updated April 12, 2016

Recorded as KELLY KOHLER, PHD, BCBA-D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2016

Behavior Analyst

🟢
Initial NPI Registration & Enumeration April 12, 2016

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: 1790149060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2016
Last Update: July 12, 2022
Sole Proprietor: No

Mailing Address

23200 Red Arrow Hwy

Mattawan, MI 490717774

Phone: 2693556621

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.