Mariah Lynn Kyro, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-22555

Practice address

650 W. Grand Avenue Suite 207
Elmhurst, IL 60126

Phone

(630) 359-3629

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Total Spectrum, LLC

  • Behavior Analyst
  • Elmhurst, IL
  • NPI 1922423177
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1083065031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W. GRAND AVENUE SUITE 207",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-359-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W. GRAND AVENUE SUITE 207",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-359-3629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Chartwell Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496969283",
            "country_code": "US",
            "telephone_number": "231-929-2354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2505 E Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466152635",
            "country_code": "US",
            "telephone_number": "574-289-4831 x1028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 44th St SW Ste 106",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495094480",
            "country_code": "US",
            "telephone_number": "616-888-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYRO",
        "first_name": "MARIAH",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-22555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Shaji Kurian, DPT
• Tresa Kurian, PHARM D
• Teresa Maria Kusper, D.O
• Peter Kuta
• Eugene Kwon
• Carlo La Forgia, MD
• Joseph Anthony La Spisa, D.D.S.
• Tammy Laas, APN
• Bashir Laban, DDS
• Angela Labedz, LCSW

• Behavior Analyst in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.