IndividualActive
Madeline Kelly
NPI 1174305361 · Behavior Technician · San Luis Obispo, CA
Madeline Kelly is a Behavior Technician provider in San Luis Obispo, CA (NPI 1174305361).
Provider details
- NPI number
- 1174305361
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
369 Squire Canyon Rd Unit B
San Luis Obispo, CA 93401-8002
Phone: (760) 607-7936
Street-level locationGet directions
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Registry dates
- Enumerated
- 2023-10-20
- Last updated
- 2023-10-20
- Certified
- 2023-10-20
Frequently asked questions
- What is Madeline Kelly's NPI number?
- Madeline Kelly's National Provider Identifier (NPI) is 1174305361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madeline Kelly's specialty?
- Madeline Kelly is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Madeline Kelly located?
- Madeline Kelly's practice location on file with NPPES is 369 Squire Canyon Rd Unit B, San Luis Obispo, CA 93401-8002.
- What is Madeline Kelly's phone number?
- The practice phone number listed in the NPPES registry for Madeline Kelly is (760) 607-7936.
- Is Madeline Kelly's NPI active?
- Yes — Madeline Kelly's NPI (1174305361) is active in the NPPES registry as of the last update on 2023-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.