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

Jack Kelly, BCBA

Individual provider Assistant Behavior Analyst · NPI 1396383030

Jack Kelly, BCBA is an Assistant Behavior Analyst in Lake Bluff, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235
Phone: (877) 486-4140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1975 McDowell Rd. #101, Naperville, IL 60563 — (331) 229-8839

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-20-45283 (IL)
Assistant Behavior Analyst Taxonomy 106E00000X

Record details

NPI number1396383030
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedDecember 12, 2019
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021
Mailing address426 W Belmont Ave Apt 807, Chicago, IL 60657-4721

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