IndividualActive
Jacob Kelly
NPI 1508412081 · Behavior Technician · Newburgh, IN
Jacob Kelly is a Behavior Technician provider in Newburgh, IN (NPI 1508412081).
Provider details
- NPI number
- 1508412081
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RBT-19-91529 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
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
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
4655 Rosebud Ln
Newburgh, IN 47630-9366
Phone: (812) 213-8031
Fax: (317) 520-8200
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2019-08-12
- Last updated
- 2019-08-12
Frequently asked questions
- What is Jacob Kelly's NPI number?
- Jacob Kelly's National Provider Identifier (NPI) is 1508412081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Kelly's specialty?
- Jacob Kelly is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jacob Kelly located?
- Jacob Kelly's practice location on file with NPPES is 4655 Rosebud Ln, Newburgh, IN 47630-9366.
- What is Jacob Kelly's phone number?
- The practice phone number listed in the NPPES registry for Jacob Kelly is (812) 213-8031.
- Is Jacob Kelly's NPI active?
- Yes — Jacob Kelly's NPI (1508412081) is active in the NPPES registry as of the last update on 2019-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.