Individual provider Active NPI

Kyle Frank, BCBA

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1548767718
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-42940 Issued in FL
Practice address
2154 Central Florida Pkwy Ste B2
Orlando, FL 32837-8986
Phone
(612) 807-3212
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-42940 FL Primary
Assistant Behavior Analyst 106E00000X 0-18-8623 FL

Addresses

Primary practice location

2154 Central Florida Pkwy Ste B2
Orlando, FL 32837-8986

Mailing address

1704 Orrington Payne PL
Casselberry, FL 32707-9060
Phone (612) 807-3212

Other practice location 1

250 S Ronald Reagan Blvd Ste 106
Longwood, FL 32750-5466
Phone (407) 342-4220

Other identifiers 2

IdentifierTypeStateIssuer
012925600OtherFLAPD
019235400MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1548767718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 ORRINGTON PAYNE PL",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327079060",
            "telephone_number": "612-807-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 CENTRAL FLORIDA PKWY STE B2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378986",
            "telephone_number": "612-807-3212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 S Ronald Reagan Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327505466",
            "country_code": "US",
            "telephone_number": "407-342-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANK",
        "first_name": "KYLE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-42940",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-18-8623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APD",
            "identifier": "012925600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019235400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.