Individual provider Active NPI

Kayleen Bailon

  • Behavior Technician
  • Bradenton, FL
National Provider Identifier
1063199834
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-282229 Issued in FL
Practice address
4440 & 4442 5TH St
Bradenton, FL 34207
Phone
(941) 744-1211
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-282229 FL Primary

Addresses

Primary practice location

4440 & 4442 5TH St
Bradenton, FL 34207

Mailing address

4442 5HT St W
Bradenton, FL 34207
Phone (941) 744-1211

Other practice location 1

5216 4th Avenue Cir E
Bradenton, FL 34208-5621
Phone (941) 744-1211

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

LicenseStateTypeSpecialty
RBT-23-282229FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Behavior Support CurrentSince Jul 1, 2023 Accepting new patients

Locations

5216 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 744-1211

4442 5th St W
Bradenton, FL 34207
Phone (941) 744-1211

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1063199834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 5HT ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34207",
            "telephone_number": "941-744-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 & 4442 5TH ST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34207",
            "telephone_number": "941-744-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5216 4th Avenue Cir E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342085621",
            "country_code": "US",
            "telephone_number": "941-744-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILON",
        "first_name": "KAYLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-282229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.