Individual provider Active NPI

Kaitlynn Carmona

  • Behavior Technician
  • Port Saint Lucie, FL
National Provider Identifier
1659266278
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1801 SE Hillmoor Dr Ste B101103
Port Saint Lucie, FL 34952-7553
Phone
(772) 463-0444
NPI assigned
Jun 12, 2025
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1801 SE Hillmoor Dr Ste B101103
Port Saint Lucie, FL 34952-7553

Mailing address

1887 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5530
Phone (772) 463-0444

Other practice location 1

960 NE Town Ter
Jensen Beach, FL 34957-6814
Phone (754) 201-0685

Other practice location 2

900 SE Ocean Blvd Ste 130
Stuart, FL 34994-3503
Phone (772) 219-7575

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Basics, Incorporated CurrentSince Dec 21, 2025 Accepting new patients
Behavior Basics, Incorporated CurrentSince Dec 21, 2025 Accepting new patients

Locations

1801 SE Hillmoor Dr
Ste B101103
Port St Lucie, FL 34952
Phone (321) 425-3231

1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 219-1339

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1659266278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525530",
            "telephone_number": "772-463-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR STE B101103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-463-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 NE Town Ter",
            "address_purpose": "LOCATION",
            "city": "Jensen Beach",
            "state": "FL",
            "postal_code": "349576814",
            "country_code": "US",
            "telephone_number": "754-201-0685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 SE Ocean Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349943503",
            "country_code": "US",
            "telephone_number": "772-219-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMONA",
        "first_name": "KAITLYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.