Kelly Ray Hernandez, M.ED., BCBA, LBA
NPI 1154961274ActiveIndividual· Behavior Analyst· Clarkston, MI
Behavior Analyst (M.ED., BCBA, LBA) in Clarkston, Michigan, licensed in MI, with an NPI issued in January 2020.
Overview
| NPI | 1154961274 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.ED., BCBA, LBA |
| Sole proprietor | Yes |
| NPI issued | Jan 7, 2020 |
| Last updated in NPPES | Aug 3, 2021 |
| Certified by provider | Aug 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 7401000984 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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