NPIMap

Organization Active NPI

Kids Behavioral Network, LLC

  • Behavior Analyst
  • Frederick, MD
National Provider Identifier
1013530096
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDS BEHAVIORAL NETWORK, LLC
Practice address
1209A N East St # 211
Frederick, MD 21701-4624
Phone
(786) 333-2975
NPI assigned
May 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Miss Jenny Coello, M.S., LMHC, BCBANPI 1467793935
Title
Ceo
Phone
(786) 333-2975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1209A N East St # 211
Frederick, MD 21701-4624

Mailing address

11390 SW 21St St
Miramar, FL 33025-6633
Phone (786) 333-9275

Other practice location 1

11390 SW 21st St
Miramar, FL 33025-6633
Phone (305) 515-5775

National Provider Directory

National Provider Directory

Locations

103530 Overseas Hwy
Unit 1773
Key Largo, FL 33037
Phone (786) 333-2975

1209A N East St
#211
Frederick, MD 21701
Phone (786) 333-2975

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1013530096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11390 SW 21ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256633",
            "telephone_number": "786-333-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209A N EAST ST # 211",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014624",
            "telephone_number": "786-333-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11390 SW 21st St",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330256633",
            "country_code": "US",
            "telephone_number": "305-515-5775",
            "fax_number": "305-489-8228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS BEHAVIORAL NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "COELLO",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-333-2975",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S., LMHC, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.