Individual provider Active NPI

Kailyn Danyelle Meek

  • Behavior Technician
  • Palm Bay, FL
National Provider Identifier
1245774603
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-16-25959 Issued in FL
Practice address
567 Brickell St SE
Palm Bay, FL 32909-4472
Phone
(321) 795-5525
NPI assigned
Dec 5, 2016
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-25959 FL Primary

Addresses

Primary practice location

567 Brickell St SE
Palm Bay, FL 32909-4472

Mailing address

567 Brickell St SE Apt 308B
Palm Bay, FL 32909-4472
Phone (321) 795-5525

Other names 1

  • Kailyn Danyelle Hall Former name

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

State licenses

LicenseStateTypeSpecialty
RBT-16-25959FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1245774603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 BRICKELL ST SE APT 308B",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094472",
            "telephone_number": "321-795-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 BRICKELL ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094472",
            "telephone_number": "321-795-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEK",
        "first_name": "KAILYN",
        "middle_name": "DANYELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-16-25959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILYN",
            "last_name": "HALL",
            "middle_name": "DANYELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.