Provider Demographics
NPI:1336718329
Name:DENNEY, KELSY
Entity type:Individual
Prefix:
First Name:KELSY
Middle Name:
Last Name:DENNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 LAKEVIEW PKWY STE 100A
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4388
Mailing Address - Country:US
Mailing Address - Phone:214-306-6886
Mailing Address - Fax:
Practice Address - Street 1:7700 LAKEVIEW PKWY STE 100A
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4388
Practice Address - Country:US
Practice Address - Phone:214-306-6886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-23
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-21-170526106S00000X
TX1-23-68549103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician