IndividualActive
Keely Boutwell, BCBA
NPI 1063921526 · Behavior Analyst · Austin, TX
Provider details
- NPI number
- 1063921526
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-17-27612 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12812 Appaloosa Chase Dr
Austin, TX 78732-1971
Phone: (512) 636-5467
Street-level locationGet directions
Mailing address
761 Trinity Hills Dr Apt 3110
Austin, TX 78737-4786
Registry dates
- Enumerated
- 2017-09-27
- Last updated
- 2017-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.