Active NPI
Kiesha Marie Robinson, BCBA
- Behavior Analyst
- St Augustine, FL
National Provider Identifier
1407563596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133004665
- Practice address
- 981 Orellana Rd
St Augustine, FL 32084-2077 - Phone
- (904) 788-5535
- NPI assigned
- Oct 31, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA2164 | MD | |
| Behavior Analyst | 103K00000X | 0133004665 | VA | Primary |
| Behavior Analyst | 103K00000X | 690 | NC |
Addresses
Primary practice location
981 Orellana Rd
St Augustine, FL 32084-2077
Mailing address
981 Orellana Rd
St Augustine, FL 32084-2077
Phone (904) 788-5535
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 |
|---|---|---|---|
| LBA2164 | MD | MD | Behavioral Analyst |
| 0133004665 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1407563596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 ORELLANA RD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320842077",
"telephone_number": "904-788-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 ORELLANA RD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320842077",
"telephone_number": "904-788-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "KIESHA",
"middle_name": "MARIE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "LBA2164",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133004665",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "690",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.