Kelly Myers Guyot, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-01-9925 Issued in VA

Practice address

4900 W Norfolk Rd
Portsmouth, VA 23703-2128

Phone

(757) 404-1393

Fax

(877) 861-7359

NPI assigned

Mar 16, 2012

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

Other names 1

• Kelly Myers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433548800000",
    "number": "1508131020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 W NORFOLK RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032128",
            "telephone_number": "757-404-1393",
            "fax_number": "877-861-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 W NORFOLK RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032128",
            "telephone_number": "757-404-1393",
            "fax_number": "877-861-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYOT",
        "first_name": "KELLY",
        "middle_name": "MYERS",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2015-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-01-9925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MYERS",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2015; 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.