Active NPI
Kylie Danielle Motley
- Behavior Analyst
- Bend, OR
National Provider Identifier
1477225258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- D10007987
- Practice address
- 20178 Reed LN Apt 110
Bend, OR 97702-3775 - Phone
- (480) 510-6954
- NPI assigned
- Sep 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | D10007987 | AZ | Primary |
Addresses
Primary practice location
20178 Reed LN Apt 110
Bend, OR 97702-3775
Mailing address
20178 Reed LN Apt 110
Bend, OR 97702-3775
Phone (480) 510-6954
Other practice location 1
1550 NE Williamson Blvd Ste 120
Bend, OR 97701-6091
Phone (541) 640-5601
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 |
|---|---|---|---|
| D10007987 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1477225258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20178 REED LN APT 110",
"city": "BEND",
"state": "OR",
"postal_code": "977023775",
"telephone_number": "480-510-6954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20178 REED LN APT 110",
"city": "BEND",
"state": "OR",
"postal_code": "977023775",
"telephone_number": "480-510-6954"
}
],
"practiceLocations": [
{
"address_1": "1550 NE Williamson Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977016091",
"country_code": "US",
"telephone_number": "541-640-5601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOTLEY",
"first_name": "KYLIE",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "D10007987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
- Mostovych Facial Plastic Surgery LLC (NADIA MD Facial Plastic Surgery and Aesthetics)
- Nadia Katherine Mostovych, M.D.
- Ali Mostue
- Robert Mote
- Motherwise Community Birth Center
- Brian Mott, MD
- Marie Elise Moulton, MD
- Mountain Equinox LLC
- Mountain Medical Group LLC
- Mountain River Counseling and Consulting LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.