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

Staten Michelle McKellum

Individual provider Behavior Technician · NPI 1831917517

Staten Michelle McKellum is a Behavior Technician in Rockwall, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

1100 Kingston Ct
Rockwall, TX 75032-8233
Phone: (469) 458-9021
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-357400 (TX)

Record details

NPI number1831917517
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 1, 2024
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address911 N Goliad St, Rockwall, TX 75087-2230

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