IndividualActive
Kellie Kotwicki, MS, BCBA, LBA
NPI 1104285485 · Behavior Analyst · Queen Creek, AZ
Provider details
- NPI number
- 1104285485
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- MS, BCBA, LBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-15-20121 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
18521 E Queen Creek Rd.
Suite 105-627
Queen Creek, AZ 85142
Phone: (480) 361-1025
Fax: (480) 814-7488
Street-level locationGet directions
Mailing address
18521 E Queen Creek Rd
Queen Creek, AZ 85142
Registry dates
- Enumerated
- 2016-02-16
- Last updated
- 2016-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.