Kellie L Coffman · Kellie L Fulbright · Behavioral Analyst

607 Elmira Rd # 129, Vacaville, CA 95687-4655

Overview

Kellie L Coffman is a Behavioral Analyst practicing in Vacaville, California. The National Provider Identifier (NPI) is #1558718692, which was assigned on May 18, 2016, and the registration record was last updated on August 25, 2025. The practitioner's main practice location is at 607 Elmira Rd # 129, Vacaville, CA 95687-4655; the contact telephone number is 7079089800. The primary taxonomy of Kellie L Coffman is Behavioral Analyst (103K00000X).

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Provider Information

NPI 1558718692
Entity Type Individual
Provider Name KELLIE L COFFMAN
Other Name KELLIE L FULBRIGHT
(Former Name)
Gender Female
Practice Address 607 Elmira Rd # 129
Vacaville
CA 95687-4655
Practice Telephone 7079089800
Mailing Address 607 Elmira Rd # 129
Vacaville
CA 95687-4655
Mailing Telephone 7073868808
Certification Date 2025-08-25
Enumeration Date 2016-05-18
Last Update Date 2025-08-25
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y103K00000XBehavior Analyst

Taxonomy Information

Primary Taxonomy

Code 103K00000X
Taxonomy Behavioral Analyst
Classification Behavior Analyst
Grouping Behavioral Health & Social Service Providers
Definition: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

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Location Information

Street Address 607 ELMIRA RD # 129
City VACAVILLE
State CA
Zip Code 95687-4655
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Michael Sailue Yang 607 Elmira Rd # 129, Vacaville, CA 95687-4655Behavior Technician2025-11-18
Valeria Alejandra Bailon 607 Elmira Rd # 129, Vacaville, CA 95687-4655Behavior Technician2025-10-08
Peak Potential Aba LLC 607 Elmira Rd # 129, Vacaville, CA 95687-4655Assistant Behavior Analyst2024-03-12
Maury Orozco-Torres 607 Elmira Rd # 129, Vacaville, CA 95687-4655Behavior Technician2025-11-06
Isabella Valine 607 Elmira Rd # 129, Vacaville, CA 95687-4655Behavioral Analyst2026-04-16

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Maria De Los Angeles Ochoa Sanchez 607 Elmira Rd, Vacaville, CA 95687-4655Behavior Technician2026-01-22
Angela Lawrence 607 Elmira Rd # 183, Vacaville, CA 95687-4655Counselor2010-09-03
Sandra Lu Howerton 607 Elmira Rd, Suite 239, Vacaville, CA 95687-4655Physical Therapist2015-07-29
Usha Mantena Dental Corporation 671 Elmira Rd Ste 130, Vacaville, CA 95687-4655Dentist2016-04-04
Victoria D Silva 607 Elmira Rd, Vacaville, CA 95687-4655Behavior Technician2025-08-06
Usha Mantena Dental Corporation 671 Elmira Rd, Suite 130, Vacaville, CA 95687-4655General Practice Dentistry2016-03-14
Irene Louie 671 Elmira Rd Ste 130, Vacaville, CA 95687-4655Student in an Organized Health Care Education/Training Program2018-07-02
North Bay Prosthetics and Orthotics LLC 671 Elmira Rd, Suite 120, Vacaville, CA 95687-4655Prosthetic/Orthotic Supplier2017-05-01
Longs Drug Stores California LLC 625 Elmira Rd, Vacaville, CA 95687-4655Durable Medical Equipment & Medical Supplies2006-06-13
Michele Nguyen 625 Elmira Rd, Vacaville, CA 95687-4655Pharmacist2021-01-15
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Juan Fidel Penaloza Pacheco 1600 California Dr, Vacaville, CA 95687Internal Medicine Physician2020-03-25
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Mumu Min 2611 Nut Tree Rd, Suite #D, Vacaville, CA 95687Endodontist2012-01-19
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Patrick Fisher 770 Mason Sst, Vacaville, CA 95687Student in an Organized Health Care Education/Training Program2012-06-18
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.