Individual provider Active NPI

Leanna Dawn Kyle, RBT

  • Behavior Analyst
  • Jacksonville, NC
National Provider Identifier
1023509924
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-49967 Issued in NC
Practice address
157 River Winding Rd
Jacksonville, NC 28540-9394
Phone
(843) 592-8582
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 1-21-49967 NC Primary

Addresses

Primary practice location

157 River Winding Rd
Jacksonville, NC 28540-9394

Mailing address

157 River Winding Rd
Jacksonville, NC 28540-9394

Other practice location 1

845 N 20th St
Wytheville, VA 24382-1024
Phone (843) 592-8582

Other practice location 2

221 Tibton Cir
Myrtle Beach, SC 29588-1203
Phone (843) 592-8582

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
Rise ABA Therapy CurrentSince Apr 6, 2025 Accepting new patients
Focus Behavioral Services CurrentSince Apr 1, 2024 Accepting new patients
Breakthrough Behavioral Services Behavior Analyst CurrentSince Apr 1, 2024 Accepting new patients

Organizations & group practices 3

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": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1023509924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 RIVER WINDING RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 RIVER WINDING RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409394",
            "telephone_number": "843-592-8582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 N 20th St",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243821024",
            "country_code": "US",
            "telephone_number": "843-592-8582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Tibton Cir",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295881203",
            "country_code": "US",
            "telephone_number": "843-592-8582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYLE",
        "first_name": "LEANNA",
        "middle_name": "DAWN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-21-49967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.