J
IndividualActive
Jack Kelly
BCBA
Behavior Analyst
NPI: 1396383030Lake Bluff, Illinois, 60044(877) 486-4140Male
About Jack Kelly
Jack Kelly, BCBA, is a male healthcare professional specializing in Behavior Analyst, registered under National Provider Identifier (NPI) number 1396383030. Their primary practice is located at 917 SHERWOOD DR STE 201, Lake Bluff, Illinois 60044.
Patients can reach the office at (877) 486-4140. Jack Kelly has been NPI-registered since 2019.
Doctor Details
Identity & Credentials
- NPI Number
- 1396383030
- Entity Type
- Individual
- First Name
- Jack
- Last Name
- Kelly
- Credential
- BCBA
- Gender
- Male
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 917 SHERWOOD DR STE 201
- City
- Lake Bluff
- State
- Illinois
- ZIP
- 60044-2235
- Country
- United States
- Phone
- (877) 486-4140
Specialty & Taxonomy
- Primary Specialty
- Behavior Analyst
- Classification
- Behavior Analyst
- Taxonomy Code
- 103K00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 426 W BELMONT AVE APT 807
- City
- CHICAGO
- State
- IL
- ZIP
- 606574721
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Jack Kelly's NPI number?
Jack Kelly's National Provider Identifier (NPI) is 1396383030. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jack Kelly specialize in?
Jack Kelly specializes in Behavior Analyst.
Where is Jack Kelly located?
Jack Kelly practices at 917 SHERWOOD DR STE 201, Lake Bluff, Illinois 60044. You can reach them by phone at (877) 486-4140.
Does Jack Kelly accept Medicare?
Based on available data, Jack Kelly is not currently enrolled in the Medicare program.
Does Jack Kelly offer telehealth or virtual visits?
Jack Kelly does not currently offer telehealth services. In-person visits are required at their practice location.
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jack Kelly is 1396383030.