Kaileigh Emma Bainter – Behavior Technician

Key facts

NPI: 1306663752
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Technician 106S00000X
License: BACB1103162 (IL)
Practice address: 535 Maine St Ste 13
Quincy, IL 62301-3950
Phone: (217) 577-2176
NPI assigned: Sep 25, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Try Love Behavioral Center, LLC Behavior Analyst · Quincy, IL · NPI 1306550413

NPD BEHAVIOR TECHNICIAN

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
BACB1103162	IL	MD	Behavior Technician

Practice roles

Organization	Specialty	Status	New patients
Try Love Behavioral Center, LLC	Behavior Technician	Current since Sep 29, 2024	Accepting new patients

Locations

535 Maine St
Ste 13
Quincy, IL 62301
Phone (217) 228-1887

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X	BACB1103162	IL	Yes

Addresses

Primary practice location

535 Maine St Ste 13
Quincy, IL 62301-3950

Mailing address

535 Maine St Ste 13
Quincy, IL 62301-3950
Phone (217) 577-2176

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 25, 2024.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1306663752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MAINE ST STE 13",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013950",
            "telephone_number": "217-577-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MAINE ST STE 13",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013950",
            "telephone_number": "217-577-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINTER",
        "first_name": "KAILEIGH",
        "middle_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "BACB1103162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

All providers in Quincy, IL · Behavior Technician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.