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

Keely Ann Boutwell, BCBA

Individual provider Behavior Analyst · NPI 1063921526

Keely Ann Boutwell, BCBA is a Behavior Analyst in Austin, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017
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

12812 Appaloosa Chase Dr
Austin, TX 78732-1971
Phone: (512) 636-5467
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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 1-17-27612 (TX)

Record details

NPI number1063921526
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESOctober 2, 2017
Mailing address761 Trinity Hills Dr Apt 3110, Austin, TX 78737-4786

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