Active NPI
Kaylie Lynne Harris
- Behavior Technician
- Sacramento, CA
National Provider Identifier
1184108805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1901 Royal Oaks Dr Ste 201
Sacramento, CA 95815-4235 - Phone
- (916) 923-1789
- NPI assigned
- Sep 19, 2018
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
1901 Royal Oaks Dr Ste 201
Sacramento, CA 95815-4235
Mailing address
3891 Blackwood St
Newbury Park, CA 91320-4901
Phone (530) 556-5613
Other practice location 1
2751 Wilmington Ave
Sacramento, CA 95820-1048
Phone (916) 923-1789
Other practice location 2
8950 Cal Center Dr Ste 137
Sacramento, CA 95826-3236
Phone (916) 923-3172
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Education, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1184108805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3891 BLACKWOOD ST",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913204901",
"telephone_number": "530-556-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 ROYAL OAKS DR STE 201",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154235",
"telephone_number": "916-923-1789"
}
],
"practiceLocations": [
{
"address_1": "2751 Wilmington Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958201048",
"country_code": "US",
"telephone_number": "916-923-1789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8950 Cal Center Dr Ste 137",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958263236",
"country_code": "US",
"telephone_number": "916-923-3172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "KAYLIE",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.