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

Kelly Kustok

Individual provider Behavior Analyst · NPI 1558860049

Kelly Kustok is a Behavior Analyst in Lakewood, Washington. Works from 5 locations. Licensed in North Carolina and Washington.

Licensed in
NC, WA
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

5919 100th St SW # 2
Lakewood, WA 98499-2731
Phone: (855) 223-7123
Fax: (619) 374-7134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2805 Trent Rd, New Bern, NC 28562-2029 — (855) 223-7123
  • 914 140th Ave Ne Ste 201, Bellevue, WA 98005-3482 — (855) 223-7123
  • 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 — (855) 223-7123
  • 521 Military Rd S, Tacoma, WA 98444-2600 — (855) 223-7123

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence BA61474114 (WA)
Behavior Analyst Taxonomy 103K00000X · Licence 1-23-67055 (WA)
Behavior Analyst Taxonomy 103K00000X · Licence 1-23-67055 (NC)
Behavior Analyst Taxonomy 103K00000X · Licence 3657 (NC)

Record details

NPI number1558860049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2018
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing addressPo Box 740780, Atlanta, GA 30374-0780

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