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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.