Active NPI
Kyle Slone
- Behavior Analyst
- Rockville, MD
National Provider Identifier
1669917001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA1018
- Practice address
- 2000 Tower Oaks Blvd
Rockville, MD 20852-4282 - Phone
- (301) 444-5001
- NPI assigned
- Dec 20, 2016
- Sex
- Male
- 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 | LBA1018 | MD | Primary |
Addresses
Primary practice location
2000 Tower Oaks Blvd
Rockville, MD 20852-4282
Mailing address
4822 Peridia Blvd E
Bradenton, FL 34203-4009
Phone (740) 463-3038
Other practice location 1
8245 Vicela Dr
Sarasota, FL 34240-1462
Phone (800) 217-9289
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 |
|---|---|---|---|
| LBA1018 | MD | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtus Health, LLC | Behavior Analyst | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Behavior Analyst
- Port Charlotte, FL
- NPI 1417238338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1669917001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4822 PERIDIA BLVD E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342034009",
"telephone_number": "740-463-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 TOWER OAKS BLVD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524282",
"telephone_number": "301-444-5001"
}
],
"practiceLocations": [
{
"address_1": "8245 Vicela Dr",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342401462",
"country_code": "US",
"telephone_number": "800-217-9289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLONE",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-20",
"last_updated": "2021-06-04",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "LBA1018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.