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Traci Kelly

Behavior Analyst

9636 Lea Shore St
Fort Worth , Texas 76179-3225

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Traci Kelly

Behavior Analyst

9636 Lea Shore St
Fort Worth , Texas 76179-3225

(817) 682-0163

Write a Review Save Call

Traci Kelly

Behavior Analyst

9636 Lea Shore St
Fort Worth , Texas 76179-3225

(817) 682-0163 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Behavior Analyst

Languages spoken

  • English

Location

9636 Lea Shore St Fort Worth , Texas 76179-3225

First Address

  • Traci Kelly
  • 9636 Lea Shore St
  • Fort Worth, TX
  • Zip : 76179-3225
  • Phone : (817) 682-0163

Second Address

  • Traci Kelly
  • 9636 Lea Shore St
  • Fort Worth, TX
  • Zip : 76179-3225
  • Phone : (817) 682-0163

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FAQs


Where did Traci Kelly attend graduate school?

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Where did Traci Kelly do her residency?

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Where did Traci Kelly do her fellowship?

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Is Traci Kelly board certified?

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What type of doctor is Traci Kelly

Behavior Analyst

In what state does Traci Kelly practice in?

Texas

Where is Traci Kelly ’s practice located?

9636 Lea Shore St , Fort Worth, Texas, 76179-3225

What is Traci Kelly ’s gender?

Female

Is Traci Kelly a sole practitioner?

No

Is Traci Kelly accepting new patients?

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What languages does Traci Kelly speak?

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Does Traci Kelly accept insurance?

Yes, Traci Kelly accepts insurance

Does Traci Kelly offers telemedicine?

Traci Kelly has not indicated if she offers telemedicine

What is Traci Kelly ’s professional license number?

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What is Traci Kelly ’s NPI number?

1003406554

Does Traci Kelly have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103K00000X Behavior Analyst 1-21-47100 TX

National Provider Identifier

NPI 1003406554
Provider Name Traci Kelly
First Address Fort Worth, TX 76179-3225
Second Address Fort Worth, TX 76179-3225
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 19/01/2021
Last Update Date 19/01/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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