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

Individual provider Behavior Analyst · NPI 1003406554

Traci Kelly, MED, BCBA is a Behavior Analyst in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

9636 Lea Shore St
Fort Worth, TX 76179-3225
Phone: (817) 682-0163
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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 1-21-47100 (TX)

Record details

NPI number1003406554
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , BCBA
Sole proprietorYes
NPI enumeratedJanuary 19, 2021
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021

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