Kyle Quinn, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3154 Issued in TX

Practice address

1834 Fields Blvd
Greenfield, IN 46140-3029

Phone

(317) 527-5437

Fax

(317) 318-1356

NPI assigned

Jan 27, 2011

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kyle Mitchell Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ABA Services, LLC

  dba ABA TeleHealth

  • Behavior Analyst
  • Dover, DE
  • NPI 1386274488
  NPD Authorized official
• Therapy and Behavior Services, LLC

  dba Applied Therapy and Behavior Services

  • Multi-Specialty Clinic/Center
  • Greenfield, IN
  • NPI 1962937656

  Behavior Analyst

  NPD

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1154627966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 THE GREEN",
            "address_2": "STE R",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013618",
            "telephone_number": "239-354-7273",
            "fax_number": "239-354-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 FIELDS BLVD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403029",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2519 E 10th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460124464",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1722 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022031",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 1/2 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473621220",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Coronado Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462342526",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 Thomes Ave Ste 610",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820013548",
            "country_code": "US",
            "telephone_number": "239-354-7951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Twin Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056768",
            "country_code": "US",
            "telephone_number": "239-354-7951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "KYLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "01096676",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "00435",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300012092",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "MITCHELL",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nadia Pumphrey
• Eric Pursell
• Ismail Qattash, M.D.
• Taylor Quarles, BCBA
• Tiffany Quilter
• Emily Ragsdale
• Samantha Lewis Rausch, NP
• Ray a. Haas, MD
• David Lamar Ray
• Aaron James Rayburn, LMFTA

• Behavior Analyst in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.