Kaytlin Danielle Blakley, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7127 Issued in TX

Practice address

304 W Mill St
Livingston, TX 77351-3227

Phone

(936) 441-2200

Fax

(936) 570-9088

NPI assigned

Jun 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inclusion ABA LLC

  • Behavior Analyst
  • Livingston, TX
  • NPI 1962163857
  NPD

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1457196008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BEECHCREEK WOOD",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773515502",
            "telephone_number": "936-252-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W MILL ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513227",
            "telephone_number": "936-441-2200",
            "fax_number": "936-570-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "TX",
            "postal_code": "773512342",
            "country_code": "US",
            "telephone_number": "936-441-2200",
            "fax_number": "936-570-9088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 N College Ave Ste 3001",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TX",
            "postal_code": "773274966",
            "country_code": "US",
            "telephone_number": "936-441-2200",
            "fax_number": "936-570-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKLEY",
        "first_name": "KAYTLIN",
        "middle_name": "DANIELLE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "7127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Michelle Berglund, SLPA
• Linda Berry, RN
• Better Med Pharmacy LLC
• Puja Bhandari, MD
• BHH of Polk County and Region, LLC
• Peyton Blythe
• Shelby Bond
• Logan Ali Bouker, DMD
• Renella Boullion, APRN, FNP-BC
• Marlo Brawner, MD

• Behavior Analyst in Livingston, TX
• Providers in Livingston, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.