Kylee Elizabeth Forde, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

840 Issued in TN

Practice address

1260 Craigleigh Dr
Nolensville, TN 37135-2956

Phone

(629) 245-7351

Fax

(615) 861-3579

NPI assigned

Jul 23, 2019

Last updated

Oct 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kylee Elizabeth Mooney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Leaps and Bounds ABA LLC

  • Behavior Analyst
  • Nolensville, TN
  • NPI 1629726799
  NPD Authorized official

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1659924272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 CRAIGLEIGH DR",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371352956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 CRAIGLEIGH DR",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371352956",
            "telephone_number": "629-245-7351",
            "fax_number": "615-861-3579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9005 Overlook Blvd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370275269",
            "country_code": "US",
            "telephone_number": "908-490-8332",
            "fax_number": "656-859-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29228 US Highway 19 N",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612101",
            "country_code": "US",
            "telephone_number": "727-351-4191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORDE",
        "first_name": "KYLEE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "840",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLEE",
            "last_name": "MOONEY",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Nolensville, TN
• Providers in Nolensville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.