IndividualActive
Carissa Kelly
NPI 1104424456 · Behavior Technician · Port St Lucie, FL
Carissa Kelly is a Behavior Technician provider in Port St Lucie, FL (NPI 1104424456).
Provider details
- NPI number
- 1104424456
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1887 Se Port St Lucie Blvd
Port St Lucie, FL 34952-5530
Phone: (772) 463-0444
Fax: (772) 219-1339
Street-level locationGet directions
Mailing address
2215 Merion Dr Apt 206
Melbourne, FL 32935-5619
Additional practice locations (1)
- 5000 Stonewood DrWexford, PA 15090-8395Phone: (724) 933-4673
Registry dates
- Enumerated
- 2020-10-09
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Frequently asked questions
- What is Carissa Kelly's NPI number?
- Carissa Kelly's National Provider Identifier (NPI) is 1104424456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carissa Kelly's specialty?
- Carissa Kelly is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Carissa Kelly located?
- Carissa Kelly's practice location on file with NPPES is 1887 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5530.
- What is Carissa Kelly's phone number?
- The practice phone number listed in the NPPES registry for Carissa Kelly is (772) 463-0444.
- Is Carissa Kelly's NPI active?
- Yes — Carissa Kelly's NPI (1104424456) is active in the NPPES registry as of the last update on 2022-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.