Kylon Lymon

Individual provider Active NPI Behavior Analyst · Columbia, MD

NPI 1043044910 · NPPES record last updated Aug 31, 2024

Key facts

NPI
1043044910
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444
Phone
(888) 344-5977
NPI assigned
Aug 31, 2024
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444

Mailing address

7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444
Phone (888) 344-5977

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 31, 2024.

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1043044910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7090 SAMUEL MORSE DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463444",
            "telephone_number": "888-344-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 SAMUEL MORSE DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463444",
            "telephone_number": "888-344-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMON",
        "first_name": "KYLON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-31",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

All providers in Columbia, MD · Behavior Analyst in Maryland

Sources for this page

Verify at the official NPI Registry.