Jody L Kyle, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2019003795 Issued in MO

Practice address

14733 Clayton Rd
Ballwin, MO 63011-2660

Phone

(314) 339-7732

NPI assigned

Mar 20, 2017

Last updated

Apr 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Autism and Behavioral Spectrum LLC

  dba AB Spectrum

  • Clinic/Center
  • Chesterfield, MO
  • NPI 1780131300
  NPD (past)
• Sunnyhill, Inc.

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1992256945
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1497296792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 TROTTER WAY",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630332531",
            "telephone_number": "636-697-7437",
            "fax_number": "314-845-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14733 CLAYTON RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112660",
            "telephone_number": "314-339-7732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11140 S Towne Sq",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631237830",
            "country_code": "US",
            "telephone_number": "314-845-3900 x308",
            "fax_number": "314-845-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYLE",
        "first_name": "JODY",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2019003795",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": "RBT-15-08251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jodykyle@zohomail.com",
            "affiliation": "N",
            "address_1": "14733 Clayton Rd",
            "city": "Ballwin",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630112660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark A Kramer, D.D.S.
• Allyson Kranz, SLP
• Cynthia R. Krinochkin, PA
• Sara L Kuanfung, P.T, LMT
• Slava Kunin, PHARM.D.
• Denise Marie Labarge, RN, LPC
• Sheila Marie Lam, DDS
• Meghan Lambert, FNP
• Erica Amelia Lammert, RNFA
• Jennifer Ann Lane, M.S., CCC-SLP

• Behavior Analyst in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.