Active NPI
Kailye L Marsh, RBT
- Behavior Technician
- Orlando, FL
National Provider Identifier
1639770860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 768 E Michigan St Unit 75
Orlando, FL 32806-4682 - Phone
- (321) 543-5773
- NPI assigned
- Nov 4, 2020
- 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 | Primary |
Addresses
Primary practice location
768 E Michigan St Unit 75
Orlando, FL 32806-4682
Mailing address
768 E Michigan St Unit 75
Orlando, FL 32806-4682
Phone (321) 543-5773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017422400 | Medicaid | FL |
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": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1639770860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "768 E MICHIGAN ST UNIT 75",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064682",
"telephone_number": "321-543-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "768 E MICHIGAN ST UNIT 75",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064682",
"telephone_number": "321-543-5773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "KAILYE",
"middle_name": "L",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017422400",
"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 Nov 4, 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.