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Kelsey Peck , MS, BCBA

Behavior Analyst β€’ Hollywood, FL

Active NPI 1245657113 Individual Practitioner Female Practitioner
Practice location in NPPES

11011 Sheridan St Ste 210
Hollywood, FL 330261531

Call 9545526668 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11011 Sheridan St Ste 210

Hollywood, FL 330261531

Telephone 9545526668
Fax 9542065584
Organization at the Same NPPES Address or Phone
Sprout Behavioral Services, Inc. Facility NPI 1649727090

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hollywood and Florida

96 active clinicians are listed under Behavior Analyst with a practice address in Hollywood, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hollywood

0% of these 96 clinicians have the CMS telehealth indicator.

0% of these 96 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-07
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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ‘€
Provider Name / Credentials Updated October 07, 2022

Recorded as KELSEY PECK, MS, BCBA

πŸ“
Updated Practice Location January 18, 2019

Registered at 11011 SHERIDAN ST STE 210, HOLLYWOOD, FL 330261531 (Tel: 9545526668)

πŸ“
Updated Business Mailing Address January 18, 2019

Registered at 11011 SHERIDAN ST STE 210, HOLLYWOOD, FL 330261531 (Tel: 9545526668)

πŸ‘€
Provider Name / Credentials Updated January 18, 2019

Recorded as KELSEY BALLEW, MS, BCBA

βœ…
NPI Profile Active March 27, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 27, 2014

Registered at 2866 NE 29TH ST, FORT LAUDERDALE, FL 333061919 (Tel: 2562835727)

πŸ“
Business Mailing Address (Initial Record) March 27, 2014

Registered at 4114 MARLIN ST, PANAMA CITY, FL 324084706 (Tel: 2562835727)

πŸ‘€
Provider Name / Credentials (Initial Record) March 27, 2014

Recorded as KELSEY BALLEW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2014

Behavior Analyst

🟒
Initial NPI Registration & Enumeration March 27, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245657113
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2014
Last Update: October 07, 2022
Sole Proprietor: Yes

Mailing Address

11011 Sheridan St Ste 210

Hollywood, FL 330261531

Phone: 9545526668

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.