Individual provider Active NPI

Kamdyn Nicole Warren, LBA

  • Behavior Analyst
  • Raleigh, NC
National Provider Identifier
1003550427
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4900 Waters Edge Dr Ste 100
Raleigh, NC 27606-5662
Phone
(919) 696-0006
Fax
(919) 573-9474
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

4900 Waters Edge Dr Ste 100
Raleigh, NC 27606-5662

Mailing address

100 Parrish Farm LN
Benson, NC 27504-6026
Phone (919) 634-5915

Other practice location 1

107 Lee Ct
Clayton, NC 27520-7927
Phone (919) 375-0475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Learn With the Best LLC Behavior Analyst CurrentSince Feb 18, 2024 Accepting new patients
Learn With the Best Day Program, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

4900 Waters Edge Dr
Ste 100
Raleigh, NC 27606
Phone (919) 303-1255

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1003550427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARRISH FARM LN",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275046026",
            "telephone_number": "919-634-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WATERS EDGE DR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065662",
            "telephone_number": "919-696-0006",
            "fax_number": "919-573-9474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Lee Ct",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275207927",
            "country_code": "US",
            "telephone_number": "919-375-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KAMDYN",
        "middle_name": "NICOLE",
        "credential": "LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.