Kaelin Christopher Adams-Kyles

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

Y3640368 Issued in CA

Practice address

26855 Ortega Dr
Los Altos Hills, CA 94022-1907

Phone

(408) 667-1404

NPI assigned

Nov 17, 2023

Last updated

Nov 17, 2023By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1225803414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26855 ORTEGA DR",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940221907",
            "telephone_number": "408-667-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26855 ORTEGA DR",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940221907",
            "telephone_number": "408-667-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS-KYLES",
        "first_name": "KAELIN",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y3640368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aivive, Inc.
• Altos Health Innovations, a California Professional Medical Corporation, Inc.
• Associated Anesthesiologists Medical Group, a Professional Corp (Aamg)
• Christy Anna Beyer, M.D.
• David Dean Burns, M.D.

• Behavior Technician in Los Altos Hills, CA
• Providers in Los Altos Hills, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.