Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Barry Shane Kelly Jr.

Individual provider Behavior Technician · NPI 1760060735

Barry Shane Kelly Jr. is a Behavior Technician in Edmond, Oklahoma. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1900 E 15th St Ste 800B
Edmond, OK 73013-6682
Phone: (405) 455-6868
Fax: (405) 562-3444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-63651 (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1760060735
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2021
Last updated in NPPESNovember 10, 2023
Certification dateNovember 10, 2023

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