Kaitlyn Simon

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-69711 Issued in UT

Practice address

9025 Novant Health Py Ste 100
Charlotte, NC 28215-0098

Phone

(980) 785-1113

NPI assigned

Apr 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1346823044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 WATERLYNN CIR NW APT 308",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270034",
            "telephone_number": "719-588-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 NOVANT HEALTH PY STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282150098",
            "telephone_number": "980-785-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "1-23-69711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G145119",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natisha Jeanene Simms, IBCLC
• Shaneekqua Gerraay Simms, NP
• Carla Jude Simon, MD
• Jessica Simon, D.M.D
• Joseph Jordan Simon, D.O.
• Khalijah Simon
• Matthew Simon, MA, LMFT
• Peter Otto Simon Jr., MD
• Ro'Shawn Simon
• Stephanie Young Simon, MD

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.