Active NPI
Kyla Ruth Davis
- Behavior Technician
- Lakewood, CO
National Provider Identifier
1477283406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-220477
- Practice address
- 7220 W Jefferson Ave Ste 100
Lakewood, CO 80235-2015 - Phone
- (866) 545-6069
- NPI assigned
- Jun 13, 2022
- 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 Technician | 106S00000X | RBT-22-220477 | CO | Primary |
Addresses
Primary practice location
7220 W Jefferson Ave Ste 100
Lakewood, CO 80235-2015
Mailing address
1239 County Road 27
Monte Vista, CO 81144-9312
Phone (719) 588-4247
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 |
|---|---|---|---|
| RBT-22-220477 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1477283406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 COUNTY ROAD 27",
"city": "MONTE VISTA",
"state": "CO",
"postal_code": "811449312",
"telephone_number": "719-588-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 W JEFFERSON AVE STE 100",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352015",
"telephone_number": "866-545-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KYLA",
"middle_name": "RUTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2023-09-19",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-22-220477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.