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

Kellie Vanassche

Individual provider Other Technician · NPI 1366819815

Kellie Vanassche is an Other Technician in Englewood Cliffs, New Jersey. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

560 Sylvan Ave Ste 1110
Englewood Cliffs, NJ 07632-3118
Phone: (646) 873-6600
Fax: (646) 859-4440
Show map & directions

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

Additional practice locations (1)

  • 15930 19 Mile Rd, Clinton Twp, MI 48038-1155 — (586) 464-0175

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-22-58779 (MI)
Other Technician Taxonomy 247200000X

Record details

NPI number1366819815
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2015
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing address15930 19 Mile Rd, Clinton Twp, MI 48038-1155