Kaitlyn Spellman

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3121 N Oak Street Ext
Valdosta, GA 31602-1099

Phone

(800) 832-9419

NPI assigned

May 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Compass Behavioral & Developmental Consultants LLC

  • Behavior Analyst
  • Valdosta, GA
  • NPI 1134553985
  NPD (past)

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1104665199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 N OAK STREET EXT",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021099",
            "telephone_number": "800-832-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 N OAK STREET EXT",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021099",
            "telephone_number": "800-832-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Sparrow
• Spectrum Family Care LLC
• Speech and Swallowing Solutions, LLC
• Speech and Swallowing Solutions, LLC
• Latoyona Speed
• Spencer T Price MD LLC
• Connie Moore Spencer, LPC
• Spine Tyme Chiropractic and Wellness
• Cariana Elisabeth Spivey, FNP-BC
• Wenbrelee Corbitt Spradley, M.ED., CCC-SLP

• Behavior Technician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.