NPIMap

Organization Active NPI

Kidslink Connect, LLC

  • Behavior Analyst
  • Streetsboro, OH
National Provider Identifier
1114413093
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDSLINK CONNECT, LLC
Practice address
899 Frost Rd
Streetsboro, OH 44241-4355
Phone
(330) 963-8600
Fax
(330) 963-8680
NPI assigned
Jul 3, 2018
Last updated
Jul 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Katrina Mullen
Title
Office Manager
Phone
(330) 963-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

899 Frost Rd
Streetsboro, OH 44241-4355

Mailing address

899 Frost Rd
Streetsboro, OH 44241-4355
Phone (330) 963-8600

National Provider Directory

National Provider Directory

Locations

899 Frost Rd
Streetsboro, OH 44241
Phone (330) 962-8600

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1114413093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 FROST RD",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414355",
            "telephone_number": "330-963-8600",
            "fax_number": "330-963-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 FROST RD",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414355",
            "telephone_number": "330-963-8600",
            "fax_number": "330-963-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSLINK CONNECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-963-8600"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.