Active NPI
Kailey Brenn Baldree, RBT
- Behavior Analyst
- Irving, TX
National Provider Identifier
1619677556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7802
- Practice address
- 400 E Royal LN
Irving, TX 75039-3540 - Phone
- (855) 832-6727
- NPI assigned
- Mar 8, 2023
- Last updated
- Dec 23, 2024
- 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 | 7802 | TX | Primary |
Addresses
Primary practice location
400 E Royal LN
Irving, TX 75039-3540
Mailing address
3905 Coulter CT
Arlington, TX 76016-3854
Phone (817) 851-6527
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 |
|---|---|---|---|
| 7802 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1619677556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 COULTER CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760163854",
"telephone_number": "817-851-6527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E ROYAL LN",
"city": "IRVING",
"state": "TX",
"postal_code": "750393540",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDREE",
"first_name": "KAILEY",
"middle_name": "BRENN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "7802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.