Kayla Mourato

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA00278 Issued in RI

Practice address

225 Newman Ave
Rumford, RI 02916-1218

Phone

(508) 838-9606

NPI assigned

Apr 29, 2016

Last updated

Aug 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1053766733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEADOWBROOK RD",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NEWMAN AVE",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161218",
            "telephone_number": "508-838-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURATO",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2022-08-02",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LBA00278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson Matos
• Maxi Drug South LP (Rite Aid Pharmacy 10258)
• Diana Medeiros, CRNA
• Kevin G Mendonca, PHARMD
• Dawn Frances Moten
• Steve Muchiri, LCSW
• Ellen M Muurray, MS CCC-SLP
• Laurie M. Nichols, SLP
• Roisin M O'Mara, PH.D.
• Rebecca Olivo, M.S., OTR/L

• Behavior Analyst in Rumford, RI
• Providers in Rumford, RI by specialty
• Behavior Analyst in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.