Jessica Lauren Kibe, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

103 Rickey Ave Unit C
Fort Walton Beach, FL 32547-2520

Phone

(850) 376-5624

Fax

(850) 937-7381

NPI assigned

Mar 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• ABA Behavioral Health

  • Behavior Analyst
  • Fort Walton Beach, FL
  • NPI 1710513940
  NPD
• Beyond Expectations Inc.

  • Multi-Specialty Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1114278686

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1114488533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RICKEY AVE UNIT C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472520",
            "telephone_number": "850-376-5624",
            "fax_number": "850-937-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RICKEY AVE UNIT C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472520",
            "telephone_number": "850-376-5624",
            "fax_number": "850-937-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBE",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "11055",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-48236",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Minette Kent, OTD, OTR/L
• Carla Rena Kersey, OTR/L
• Hannah Elaine Kettle-Church, LPN
• Dawn Kimball Key, LMHC
• Sikandar Khan, MD
• Tara Nicole Kidd, MSN, APRN, PMHNP-BC
• Francis E Kidwell III, PA-C
• Lawrence P King, M.D.
• Melissa McGuinn King, M.D.
• Nancy King, RD

• Behavior Analyst in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.