Active NPI
Kaylee Rene Northam, RBT
- Behavior Analyst
- Leland, NC
National Provider Identifier
1265320857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1240 Magnolia Village Way
Leland, NC 28451-9464 - Phone
- (910) 599-2230
- NPI assigned
- Jun 24, 2025
- Last updated
- Jul 16, 2025
- 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 Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
1240 Magnolia Village Way
Leland, NC 28451-9464
Mailing address
1595 Raptor Ter NE
Bolivia, NC 28422-6402
Phone (910) 757-6386
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1265320857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 RAPTOR TER NE",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284226402",
"telephone_number": "910-757-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 MAGNOLIA VILLAGE WAY",
"city": "LELAND",
"state": "NC",
"postal_code": "284519464",
"telephone_number": "910-599-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHAM",
"first_name": "KAYLEE",
"middle_name": "RENE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-24",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leland, NC
- Beverly NG, MD
- North Brunswick Chiropractic and Acupuncture
- North Brunswick Counseling & Psychological Associates PLLC
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #08928)
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #05563)
- Novant Health Brunswick Surgery Center LLC (Novant Health Leland Outpatient Surgery Center CRNA)
- Novant Health Brunswick Surgery Center LLC (Novant Health Leland Outpatient Surgery Center)
- Novant Health Medical Group Coastal Region, LLC (Novant Health Infusion)
- Novant Health Medical Group Coastal Region, LLC (Novant Health Neurology)
- Novant Health Medical Group NC Coastal Region Specialty, LLC (Novant Health Cancer Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.