Active NPI
Kaylee Agent
- Behavior Analyst
- Denver, CO
National Provider Identifier
1316548712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 814
- Practice address
- 3401 Quebec St Ste 3500
Denver, CO 80207 - Phone
- (720) 706-3396
- NPI assigned
- Nov 3, 2020
- Last updated
- Jul 2, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 814 | TN | Primary |
| Behavior Technician | 106S00000X | TN |
Addresses
Primary practice location
3401 Quebec St Ste 3500
Denver, CO 80207
Mailing address
5701 E 8TH Ave Apt 228
Denver, CO 80220-4534
Phone (708) 382-0428
Other practice location 1
331 Landrum Pl
Clarksville, TN 37043-6329
Phone (931) 553-1395
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
| License | State | Type | Specialty |
|---|---|---|---|
| 814 | TN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar Health, Inc. | Behavior Analyst | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1316548712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 E 8TH AVE APT 228",
"city": "DENVER",
"state": "CO",
"postal_code": "802204534",
"telephone_number": "708-382-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 QUEBEC ST STE 3500",
"city": "DENVER",
"state": "CO",
"postal_code": "80207",
"telephone_number": "720-706-3396"
}
],
"practiceLocations": [
{
"address_1": "331 Landrum Pl",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370436329",
"country_code": "US",
"telephone_number": "931-553-1395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGENT",
"first_name": "KAYLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2024-07-02",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "814",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TN",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.