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

Tara Kelly

Individual provider Behavior Technician · NPI 1992371504

Tara Kelly is a Behavior Technician in Mystic, Connecticut. Works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2021

Practice location Address checks out

4 Broadway Avenue Ext Ste 3
Mystic, CT 06355-2875
Phone: (860) 980-3233
Show map & directions

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

Additional practice locations (1)

  • 336 Halls Hill Rd, Colchester, CT 06415-1452 — (860) 980-3233

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CT)

Record details

NPI number1992371504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing address4 Broadway Avenue Ext Ste 3, Mystic, CT 06355-2875

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