Active NPI
Kayla Elizabeth Vice
- Behavior Technician
- Fairborn, OH
National Provider Identifier
1033791975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB359377
- Practice address
- 919 S Central Ave
Fairborn, OH 45324-3804 - Phone
- (336) 339-3521
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB359377 | OH | Primary |
Addresses
Primary practice location
919 S Central Ave
Fairborn, OH 45324-3804
Mailing address
1673 Ken Klare Dr
Beavercreek, OH 45432-1911
Phone (336) 339-3521
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kvice@mvtsstaff.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB359377 | OH | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1033791975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1673 KEN KLARE DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454321911",
"telephone_number": "336-339-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 S CENTRAL AVE",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453243804",
"telephone_number": "336-339-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICE",
"first_name": "KAYLA",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": "BACB359377",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kvice@mvtsstaff.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "919 S Central Ave",
"city": "Fairborn",
"state": "OH",
"country_code": "US",
"postal_code": "453243804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.