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

Samuel Kelley

Individual provider Behavior Technician · NPI 1154184984

Samuel Kelley is a Behavior Technician in Lutz, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

17815 Hunting Bow Cir
Lutz, FL 33558-5401
Phone: (813) 491-4425
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1154184984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 4, 2024
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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