Kenneth James Killingsworth, M.A., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0092 Issued in NV

Practice address

3785 Baker LN Ste 201
Reno, NV 89509-5454

Phone

(775) 996-3890

NPI assigned

Oct 3, 2016

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Helix Behavioral Services

  • Behavior Analyst
  • Sparks, NV
  • NPI 1144821455
  NPD (past) Authorized official
• Helix Behavioral Services

  • Behavior Analyst
  • Reno, NV
  • NPI 1508386988
  NPD (past) Authorized official
• Elementa ABA LLC

  • Behavior Analyst
  • Reno, NV
  • NPI 1609684257
  NPD

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1104375096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 BAKER LN STE 201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095454",
            "telephone_number": "775-996-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 BAKER LN STE 201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095454",
            "telephone_number": "775-996-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Los Altos Pkwy Ste 109",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894367754",
            "country_code": "US",
            "telephone_number": "775-996-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLINGSWORTH",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "credential": "M.A., BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2022-12-19",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Brooke Killebrew
• Thomas Edward Killeen, MD
• Cody Mitchell Killgore, OTD, OTR/L
• Darrell F Killian Jr.
• Joshua Muir Killinger, PA-C
• John K Kilonzo, PA-C
• Shea Elizabeth Kilpatrick
• Aaron Kim, PHARMD
• Ah Young Kim, DMD
• Alice Kim, MSN, FNP-BC

• Behavior Analyst in Reno, NV
• Providers in Reno, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.