Individual provider Active NPI

Kylie Rae Travers

  • Behavior Technician
  • Modesto, CA
National Provider Identifier
1427548734
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-55486 Issued in CA
Practice address
1115 14TH St
Modesto, CA 95354-1003
Phone
(209) 527-2589
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-55486 CA Primary

Addresses

Primary practice location

1115 14TH St
Modesto, CA 95354-1003

Mailing address

1115 14TH St
Modesto, CA 95354-1003

Other practice location 1

1115 14th St
Modesto, CA 95354-1003
Phone (209) 572-2589

Other practice location 2

1115 14th St
Modesto, CA 95354-1003
Phone (209) 572-2589

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
RBT-18-55486CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1427548734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 14TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 14TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541003",
            "telephone_number": "209-527-2589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 14th St",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953541003",
            "country_code": "US",
            "telephone_number": "209-572-2589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 14th St",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953541003",
            "country_code": "US",
            "telephone_number": "209-572-2589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "KYLIE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-18-55486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.