Jack Kelly, BCBA
NPI 1396383030 · Behavior Analyst · Lake Bluff, IL
Jack Kelly, BCBA is a Behavior Analyst provider in Lake Bluff, IL (NPI 1396383030).
Provider details
- NPI number
- 1396383030
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Additional practice locations (1)
- 1975 Mcdowell Rd. #101Naperville, IL 60563Phone: (331) 229-8839
Registry dates
- Enumerated
- 2019-12-12
- Last updated
- 2021-08-12
- Certified
- 2021-08-12
Frequently asked questions
- What is Jack Kelly's NPI number?
- Jack Kelly's National Provider Identifier (NPI) is 1396383030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Kelly's specialty?
- Jack Kelly is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Jack Kelly located?
- Jack Kelly's practice location on file with NPPES is 917 Sherwood Dr Ste 201, Lake Bluff, IL 60044-2235.
- What is Jack Kelly's phone number?
- The practice phone number listed in the NPPES registry for Jack Kelly is (877) 486-4140.
- Is Jack Kelly's NPI active?
- Yes — Jack Kelly's NPI (1396383030) is active in the NPPES registry as of the last update on 2021-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.