Kellse Lynn Ericson, BCBA, LBA

Behavior Analyst · Norwich, CT

Individual Active NPI

NPI number 1144167768

Practice location

164 Otrobando Ave
Suite B
Norwich, CT 06360
Phone
(888) 754-0398

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NPI record

NPI
1144167768
Entity type
Individual (Type 1)
Enumeration date
May 1, 2026
Last updated
May 1, 2026
Certified
April 26, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

About Kellse Ericson

Kellse Lynn Ericson, BCBA, LBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 164 Otrobando Ave, Suite B, Norwich, CT 06360. The NPI number 1144167768 was assigned on May 1, 2026 and the record was last updated on May 1, 2026.

Frequently asked questions

What is the NPI number of Kellse Lynn Ericson, BCBA, LBA?

The NPI number is 1144167768.

What is the phone number of Kellse Ericson?

The phone number listed for the practice location is (888) 754-0398.

Where is Kellse Ericson located?

164 Otrobando Ave, Suite B, Norwich, CT 06360.

What is the taxonomy code for Kellse Ericson?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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