Kaitlen Autrey
Individual provider Active NPI Behavior Technician · Crestview, FL
NPI 1356282982 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1356282982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4100 S Ferdon Blvd Ste B3
Crestview, FL 32536-5287 - Phone
- (850) 362-6824
- Fax
- (850) 362-6826
- NPI assigned
- Apr 6, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Expectations Inc. | Past |
Accepting new patients | |
| Beyond Expectations Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
4100 S Ferdon Blvd Ste B3
Crestview, FL 32536-5287
Mailing address
PO Box 259
Shalimar, FL 32579-0259
Phone (850) 362-6824
Other providers in Crestview, FL
- Shirley Arnold
- Sabra Lynn Arzaga
- Ascent Christian Counseling, LLC
- Jonathan Aspinwall
- Amber Kristina Aull
- Muhammad Azzam Awan
- Monica L Baker
- Connie Dennise Baldwin
- Jill Ballantyne
- Shannon Rae Banaszak
All providers in Crestview, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. 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.