Kiley Roggenkamp, M.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-38090 Issued in TX

Practice address

4235 Cedar Springs Rd
Dallas, TX 75219-2691

Phone

(469) 906-6372

NPI assigned

Oct 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467093450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 WOODSIDE ST APT 3118",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043090",
            "telephone_number": "214-675-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 CEDAR SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192691",
            "telephone_number": "469-906-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGENKAMP",
        "first_name": "KILEY",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-19-38090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kroggenkamp@bluesprigpediatrics.com",
            "affiliation": "Y",
            "affiliationName": "Blue Sprig Pediatrics, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7500 San Felipe St Ste 600",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770631790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Rogers, MD
• Tammie Lea Rogers, M.D.
• Vanessa L Rogers, MD
• Zion Nicole Rogers, BT
• Zora R Rogers, MD
• Thomas Michael Rogoff, M.D.
• Kun Hee Roh
• Seena Rohani, DO, MPH, MMS
• Parostu Rohanni
• Anand Kumar Rohatgi, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.