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

Kelly Phillips, BCBA

Individual provider Behavior Analyst · NPI 1881185536

Kelly Phillips, BCBA is a Behavior Analyst in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2018.

Licensed in
IN
In the registry since
2018
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

3030 Lake Ave Ste 20
Fort Wayne, IN 46805-5428
Phone: (260) 420-9332
Fax: (866) 446-0198
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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 1-18-31563 (IN)

Record details

NPI number1881185536
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedMay 29, 2018
Last updated in NPPESFebruary 15, 2019
Mailing address4103 Castell Dr, Fort Wayne, IN 46835-2100

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