Philip Kinard, M.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-8789 Issued in FL

Practice address

1838 Perimeter Park Rd
Fernandina Beach, FL 32034-1975

Phone

(904) 753-0701

NPI assigned

Aug 25, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Bridges Behavioral Consulting

  • Behavior Analyst
  • Fernandina Beach, FL
  • NPI 1275924276
  NPD (past) Authorized official

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1215337449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 PERIMETER PARK RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341975",
            "telephone_number": "904-753-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 PERIMETER PARK RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341975",
            "telephone_number": "904-753-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINARD",
        "first_name": "PHILIP",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-11-8789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna E. Kelly, CRNA
• Paula Mae Kelsor, R
• Melissa Kenner, LCSW, LMSW
• Naomi Ivette Kimball
• Kimberly Carroll Physical Therapy LLC
• Amelia Claire Kirby, MS, CF-SLP
• Laurie A Kitson, DMD
• Michael C Knudstrup, PHARMACIST
• Diana Kornetti, PT
• Andrea Anderson Kosciulek, M.S.

• Behavior Analyst in Fernandina Beach, FL
• Providers in Fernandina 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 Aug 25, 2014; 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.