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General NPI Number Information
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NPI Number | 1225982986
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Entity Type | Individual
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Provider Name | MICHELLE ANN KELLEY M.ED.,RBT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 3737 EXECUTIVE CENTER DR STE 255
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City | AUSTIN
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State | TX
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Zip | 78731-1633
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Country | US
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Telephone | 737-346-3334
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Fax | 855-840-1939
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Provider Business Mailing Address
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Address Line | 204 E CUSTERS CREEK BND
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-4603
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Country | US
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Telephone | 512-773-3007
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 1422981
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License Number State | TX
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