Kayla Oeth, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

157187 Issued in AK

Practice address

3524 Industrial Ave
Fairbanks, AK 99701-7376

Phone

(907) 290-6395

NPI assigned

Dec 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Interior Behavior Consulting, LLC

  • Behavior Analyst
  • North Pole, AK
  • NPI 1427699032
  NPD (past)

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1023523289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 DEHALDEN LN",
            "city": "SALCHA",
            "state": "AK",
            "postal_code": "997149706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 INDUSTRIAL AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017376",
            "telephone_number": "907-290-6395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Santa Claus Ln",
            "address_purpose": "LOCATION",
            "city": "North Pole",
            "state": "AK",
            "postal_code": "997056055",
            "country_code": "US",
            "telephone_number": "907-371-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OETH",
        "first_name": "KAYLA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AK",
            "license": "157187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elias C O'Donoghue, D.D.S.
• Sean T. O'Neil, LCSW
• Katie Oates, DMD
• Obfc LLC (Woodland Wellness)
• Occupational Health Centers of Alaska PC (Concentra Medical Centers)
• Sarah Mae Ohearn
• Miriam Ohman
• Omo Oisamoje
• Everline Bugesi Okero
• Jordan Kelechi Okororie

• Behavior Analyst in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Behavior Analyst in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.