Active NPI
Kayla Bennett, BCBA, LBA, MD
- Behavior Analyst
- Farmington Hills, MI
National Provider Identifier
1073135828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 6884
- Practice address
- 27777 Inkster Rd
Farmington Hills, MI 48334-5326 - Phone
- (248) 436-4400
- NPI assigned
- May 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 6884 | TX | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
27777 Inkster Rd
Farmington Hills, MI 48334-5326
Mailing address
500 N Valley Pkwy Ste 103
Lewisville, TX 75067-3479
Phone (469) 946-8400
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6884 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1073135828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N VALLEY PKWY STE 103",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673479",
"telephone_number": "469-946-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27777 INKSTER RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345326",
"telephone_number": "248-436-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "KAYLA",
"credential": "BCBA, LBA, MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-15",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "6884",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.