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Ronda Kelley

Behavior Analyst in Portland, IN. Individual provider (NPI-1).

NPI number1336736503
StatusActive
Last updated in NPPESNov 6, 2026

Details

NPI
1336736503
Entity type
Individual (NPI-1)
Name
Ronda Kelley
Sex
Female
Sole proprietor
No
Enumeration date
Dec 22, 2020
Certification date
Nov 6, 2026
Last updated
Nov 6, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-26-2866155INYes

Practice location

414 E Floral Ave
Portland, IN 47371-2914

Phone 765-730-7883

Mailing address

414 E Floral Ave
Portland, IN 47371-2914

Phone 765-730-7883 · Fax 317-802-7325

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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