Active NPI
Kaileigh Carolyn Kitchen, MS, BCBA
- Behavior Analyst
- Gastonia, NC
National Provider Identifier
1184271439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2675 Court Dr
Gastonia, NC 28054-1478 - Phone
- (704) 824-4999
- Fax
- (704) 824-3999
- NPI assigned
- Aug 21, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2675 Court Dr
Gastonia, NC 28054-1478
Mailing address
202 Rose Hill Dr
Pawleys Island, SC 29585-7251
Other practice location 1
202 Rose Hill Dr
Pawleys Island, SC 29585-7251
Phone (508) 215-8202
Other practice location 2
606 E Davis St
Burlington, NC 27215-5922
Phone (336) 513-8550
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Rehabilitation and Sports Physical Therapy, PC | Past | Accepting new patients | |
| Comprehab LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Compleat KiDZ Pediatric Therapy
- Physical Therapist
- Gastonia, NC
- NPI 1407932775
Behavior Analyst
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1184271439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 ROSE HILL DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295857251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280541478",
"telephone_number": "704-824-4999",
"fax_number": "704-824-3999"
}
],
"practiceLocations": [
{
"address_1": "202 Rose Hill Dr",
"address_purpose": "LOCATION",
"city": "Pawleys Island",
"state": "SC",
"postal_code": "295857251",
"country_code": "US",
"telephone_number": "508-215-8202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "606 E Davis St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NC",
"postal_code": "272155922",
"country_code": "US",
"telephone_number": "336-513-8550",
"fax_number": "743-205-3533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITCHEN",
"first_name": "KAILEIGH",
"middle_name": "CAROLYN",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.