Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487218293 Individual Practitioner Female Practitioner

Kelly Lynn Udell , BSW, MA, BCBA, LBA

Behavior Analyst • Troy, MI

Professional Overview & Biography Verified Profile Summary

Kelly Udell, BSW, MA, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Troy, MI. Practice services are available at 2032 E SQUARE LAKE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2032 E Square Lake Rd

Troy, MI 480853338

Telephone 2486728112
Associated Practice Facility / Clinic
🏢 Bright Dakroub Llc. Facility NPI 1174222871

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Troy, MI

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

Practicing in Troy, 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: 2023-08-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MI 7401002039

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 Technician

NUCC Taxonomy Code: 106S00000X

State License MI 17-42943

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
MI11989 (MI)
Commercial Insurance / Payer ID Behavior Analyst License
7401002039 (MI)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Paige Teregan

Behavior Analyst

NPI 1225578784

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 29, 2023

Registered at 2032 E SQUARE LAKE RD, TROY, MI 480853338 (Tel: 2486728112)

📍
Updated Business Mailing Address August 29, 2023

Registered at 2032 E SQUARE LAKE RD, TROY, MI 480853338 (Tel: 2486728112)

👤
Provider Name / Credentials Updated August 29, 2023

Recorded as KELLY UDELL, BSW, MA, BCBA, LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2023

Behavior Analyst (License #7401002039 in MI)

NPI Profile Active April 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2019

Registered at 7030 WHITMORE LAKE RD, BRIGHTON, MI 481168533 (Tel: 2484863636)

📍
Updated Business Mailing Address April 26, 2019

Registered at 7030 WHITMORE LAKE RD, BRIGHTON, MI 481168533 (Tel: 2484863636)

👤
Provider Name / Credentials Updated April 26, 2019

Recorded as KELLY UDELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2019

Behavior Technician (License #17-42943 in MI)

🟢
Initial NPI Registration & Enumeration April 26, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1487218293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2019
Last Update: August 29, 2023
Sole Proprietor: Yes

Mailing Address

2032 E Square Lake Rd

Troy, MI 480853338

Phone: 2486728112

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.