Active NPI
Kimberlyn Morillo
- Behavior Technician
- Kissimmee, FL
National Provider Identifier
1083197891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 809 E Oak St Ste 106
Kissimmee, FL 34744-5834 - Phone
- (407) 483-9520
- NPI assigned
- Sep 9, 2018
- 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 | |||
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
809 E Oak St Ste 106
Kissimmee, FL 34744-5834
Mailing address
1776 Lee Janzen Dr
Kissimmee, FL 34744-3951
Phone (321) 527-0544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-18-68783 | Other | BACB BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1083197891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 LEE JANZEN DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347443951",
"telephone_number": "321-527-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 E OAK ST STE 106",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445834",
"telephone_number": "407-483-9520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORILLO",
"first_name": "KIMBERLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-09",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB BOARD",
"identifier": "RBT-18-68783",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.