IndividualActive
Tara Kelly
NPI 1992371504 · Behavior Technician · Mystic, CT
Provider details
- NPI number
- 1992371504
- 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(60/100 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
4 Broadway Avenue Ext Ste 3
Mystic, CT 06355-2875
Phone: (860) 980-3233
Street-level locationGet directions
Mailing address
4 Broadway Avenue Ext Ste 3
Mystic, CT 06355-2875
Additional practice locations (1)
- 336 Halls Hill RdColchester, CT 06415-1452Phone: (860) 980-3233
Registry dates
- Enumerated
- 2021-06-03
- Last updated
- 2021-06-03
- Certified
- 2021-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.