Individual provider Active NPI

Kairi Jedziah Padilla

  • Behavior Analyst
  • Saint Johns, FL
National Provider Identifier
1366354417
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-26-2840877 Issued in FL
Practice address
148 Roberts Village CT Ste 1301
Saint Johns, FL 32259-9582
Phone
(904) 701-2112
Fax
(904) 789-5759
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-26-2840877 FL Primary

Addresses

Primary practice location

148 Roberts Village CT Ste 1301
Saint Johns, FL 32259-9582

Mailing address

8649 A C Skinner Pkwy Apt 1211
Jacksonville, FL 32256-7888
Phone (904) 701-2112

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1366354417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8649 A C SKINNER PKWY APT 1211",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567888",
            "telephone_number": "904-701-2112",
            "fax_number": "904-789-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 ROBERTS VILLAGE CT STE 1301",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322599582",
            "telephone_number": "904-701-2112",
            "fax_number": "904-789-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "KAIRI",
        "middle_name": "JEDZIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-26-2840877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.