IndividualActive
Avery Kellem
NPI 1184575987 · Behavior Technician · Mcminnville, OR
Provider details
- NPI number
- 1184575987
- 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
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
36 Boardman St
#209
Mcminnville, OR 97128
Phone: (253) 677-0203
Approximate (ZIP-level) locationGet directions
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Registry dates
- Enumerated
- 2026-02-06
- Last updated
- 2026-02-06
- Certified
- 2026-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.