Individual provider Active NPI

Kyle Andrew Fite, BCBA, LBA

  • Behavior Analyst
  • Lynchburg, VA
National Provider Identifier
1407627581
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133003393 Issued in VA
Practice address
20838 Timberlake Rd Ste B
Lynchburg, VA 24502-7241
Phone
(434) 214-8112
Fax
(434) 220-0103
NPI assigned
Jan 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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 0133003393 VA Primary

Addresses

Primary practice location

20838 Timberlake Rd Ste B
Lynchburg, VA 24502-7241

Mailing address

20838 Timberlake Rd Ste B
Lynchburg, VA 24502-7241
Phone (434) 214-8112

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

LicenseStateTypeSpecialty
0133003393VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1407627581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20838 TIMBERLAKE RD STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027241",
            "telephone_number": "434-214-8112",
            "fax_number": "434-220-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20838 TIMBERLAKE RD STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027241",
            "telephone_number": "434-214-8112",
            "fax_number": "434-220-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITE",
        "first_name": "KYLE",
        "middle_name": "ANDREW",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133003393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.