NPI 1760054357 · live from the CMS NPI Registry
Kelly Albertson, BCBA
Behavior Analyst in Davenport, IA. National Provider Identifier 1760054357, active.
NPI record
| NPI | 1760054357 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3402 Elmore Ave, Davenport, IA 52807 |
| Practice phone | 515-207-5251 |
| Mailing address | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 |
| Enumerated | July 13, 2021 |
| Last updated | October 30, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-21-50935 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.