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Amanda Kyla Kelly , MED, BCBA

Behavior Analyst β€’ Jacksonville, FL

Active NPI 1285108027 Individual Practitioner Female Practitioner
Practice location in NPPES

7775 Baymeadows Way Ste 200
Jacksonville, FL 322567531

Call 9048313974 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

7775 Baymeadows Way Ste 200

Jacksonville, FL 322567531

Telephone 9048313974
Organization at the Same NPPES Address or Phone
Maxim Healthcare Services, Inc. Facility NPI 1952417586

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

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Lakewood, CO; Midway, GA; Pooler, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

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 Jacksonville and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 487 clinicians have the CMS telehealth indicator.

0% of these 487 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: 2024-10-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-19-40066

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 Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES GA 1-19-40066

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 Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CO 1-19-40066

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

Secondary Practice Locations

54 Salt Marsh Dr

Midway, GA 313206887

Phone: 7323302446

11177 W 8th Ave

Lakewood, CO 802155575

Phone: 7192039947

105 Grand Central Blvd Ste 101

Pooler, GA 313224146

Phone: 9123881035

Career & Practice History Timeline

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

17 Historical Events
πŸ‘€
Provider Name / Credentials Updated October 16, 2024

Recorded as AMANDA KELLY, MED, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2024

Behavior Analyst (license number reported to NPPES: GA 1-19-40066)

πŸ“
Updated Practice Location June 20, 2023

Registered at 7775 BAYMEADOWS WAY STE 200, JACKSONVILLE, FL 322567531 (Tel: 9048313974)

πŸ“
Updated Practice Location November 02, 2022

Registered at 105 GRAND CENTRAL BLVD STE 101, POOLER, GA 313224146 (Tel: 9123881035)

πŸ“
Updated Business Mailing Address November 02, 2022

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028 (Tel: 8666100580)

πŸ“
Updated Practice Location March 25, 2022

Registered at 500 NORTHSIDE XING STE A, MACON, GA 312102377 (Tel: 7323302446)

πŸ“
Updated Business Mailing Address March 25, 2022

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 7323302446)

πŸ‘€
Provider Name / Credentials Updated March 25, 2022

Recorded as AMANDA LOUTH, MED, BCBA

πŸ“
Updated Practice Location January 23, 2020

Registered at 11177 W 8TH AVE, LAKEWOOD, CO 802155575 (Tel: 7192039947)

πŸ“
Updated Business Mailing Address January 23, 2020

Registered at 115 WILCOX ST APT 1620, CASTLE ROCK, CO 801042048 (Tel: 7323302446)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2020

Behavior Analyst (license number reported to NPPES: CO 1-19-40066)

βœ…
NPI Profile Active January 25, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 25, 2019

Registered at 5540 N ACADEMY BLVD STE 121, COLORADO SPRINGS, CO 809183674 (Tel: 7192039947)

πŸ“
Business Mailing Address (Initial Record) January 25, 2019

Registered at 1189 S EATON CIR APT 3C, CASTLE ROCK, CO 801042387

πŸ‘€
Provider Name / Credentials (Initial Record) January 25, 2019

Recorded as AMANDA LOUTH, MA, RBT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration January 15, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285108027
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2019
Last Update: October 16, 2024
Sole Proprietor: No

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

Phone: 8666100580

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.