Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1225563539 Deactivated / Inactive NPI Female Practitioner

Kelly Anne Berretta

Behavior Analyst • Bellevue, WA

⚠️

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, Kelly Berretta has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 24, 2017
NPI Deactivation Date December 20, 2023
Total Practice Duration ~6 Years of Practice (2017 – 2023)

Professional Overview & Biography Verified Profile Summary

Kelly Berretta was a registered Behavior Analyst practicing in Bellevue, WA. Throughout an active medical career spanning 6 years, Kelly Berretta provided care at the practice location at 1800 112TH AVE NE until profile deactivation on 2023-12-20.

Practice Location & Contact Primary Location

Practice Address

1800 112th Ave Ne

Bellevue, WA 980042993

Telephone 4256432133
Associated Practice Facility / Clinic
🏢 Terry S Oneil Phd Ps Facility NPI 1154432078

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
336 Specialists

Practicing in Bellevue, WA (3007 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

7 Associated Practitioners
Lindsay Mcfadden

Behavior Analyst

NPI 1013464106
Taylor Trembly

Behavior Analyst

NPI 1114402310
Megan Brown

Behavior Analyst

NPI 1639633589
La Reanna La Guire

Behavior Analyst

NPI 1720565237
Irina Owen , LMHC-A

Behavior Analyst

NPI 1740745397

LMHCA

James Baird

Behavior Analyst

NPI 1861961302

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated December 20, 2023

Record deactivated on December 20, 2023

NPI Profile Active April 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2017

Registered at 1800 112TH AVE NE, BELLEVUE, WA 980042993 (Tel: 4256432133)

📍
Updated Business Mailing Address April 24, 2017

Registered at 1800 112TH AVE NE, BELLEVUE, WA 980042993 (Tel: 4256432133)

👤
Provider Name / Credentials Updated April 24, 2017

Recorded as KELLY BERRETTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2017

Behavior Analyst

🟢
Initial NPI Registration & Enumeration April 24, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kelly Berretta. Be the first to share your experience!

Sign in to leave a review for Kelly Berretta

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1225563539
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2017
Last Update: April 24, 2017
Deactivation Date: December 20, 2023

Mailing Address

1800 112th Ave Ne

Bellevue, WA 980042993

Phone: 4256432133

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.