Kylin Annalysa Evans

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61669597 Issued in WA

Practice address

106 S 2ND Ave
Walla Walla, WA 99362-3001

Phone

(800) 781-5536

NPI assigned

Apr 28, 2025

Sex

Female

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1275321465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 S PALOUSE ST APT 15",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623376",
            "telephone_number": "509-778-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623001",
            "telephone_number": "800-781-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1719 N Atlantic St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992054804",
            "country_code": "US",
            "telephone_number": "800-781-5536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KYLIN",
        "middle_name": "ANNALYSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61669597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Esparza, PHARM. D
• Jennifer Estes
• Yu-Jin Eun, BS
• Tara Elizabeth Evanger-Dalke, O.D.
• Darcie Evans
• Levi A Evans, MD
• Amy Evensen, MA
• Kaitlyn Everson, OTR/L
• Eye & Laser Physicians of Walla Walla
• Chelane R Fackenthall, ARNP

• Behavior Technician in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.