Individual provider Active NPI

Brittany R Ianucilli-Kyler, RBT

  • Behavior Analyst
  • Columbia City, IN
National Provider Identifier
1659858652
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
500 N Oak St
Columbia City, IN 46725-1218
Phone
(260) 459-6040
NPI assigned
Jul 23, 2018
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 IN Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

500 N Oak St
Columbia City, IN 46725-1218

Mailing address

5601 Coventry LN
Fort Wayne, IN 46804-7145
Phone (260) 459-6040

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
Children's Autism Center, Inc CurrentSince Dec 21, 2025 Accepting new patients

Locations

500 N Oak St
Columbia City, IN 46725

10313 Aboite Center Rd
Fort Wayne, IN 46804
Phone (260) 969-1411

5601 Coventry Ln
Fort Wayne, IN 46804
Phone (260) 755-1438

6131 N Clinton St
Fort Wayne, IN 46825
Phone (260) 755-1438

Organizations & group practices 1

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1659858652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 COVENTRY LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047145",
            "telephone_number": "260-459-6040",
            "fax_number": "260-459-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N OAK ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251218",
            "telephone_number": "260-459-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANUCILLI-KYLER",
        "first_name": "BRITTANY",
        "middle_name": "R",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.