Active NPI
Kylie A Davis, MA, BCBA, LBA
- Behavior Analyst
- Far Rockaway, NY
National Provider Identifier
1154933398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001958
- Practice address
- 740 Cedar Lawn Ave
Far Rockaway, NY 11691-5304 - Phone
- (505) 295-6685
- NPI assigned
- Aug 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-001958 | AZ | Primary |
Addresses
Primary practice location
740 Cedar Lawn Ave
Far Rockaway, NY 11691-5304
Mailing address
4389 Depot Drve
Swartz Creek, MI 48473
Phone (480) 482-0859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-001958 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1154933398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4389 DEPOT DRVE",
"city": "SWARTZ CREEK",
"state": "MI",
"postal_code": "48473",
"telephone_number": "480-482-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 CEDAR LAWN AVE",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915304",
"telephone_number": "505-295-6685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KYLIE",
"middle_name": "A",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2025-08-25",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.