Kylie Gould
Individual provider Active NPI Behavior Analyst · Pass Christian, MS
NPI 1679938476 · NPPES record last updated Dec 8, 2021
Key facts
- NPI
- 1679938476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-12-55728
- Practice address
- 11006 Edwin Ladner Rd
Pass Christian, MS 39571-9366 - Phone
- (601) 590-3283
- NPI assigned
- Dec 21, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Child LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-55728 | Yes |
Addresses
Primary practice location
11006 Edwin Ladner Rd
Pass Christian, MS 39571-9366
Mailing address
1325 W Causeway Approach
Mandeville, LA 70471-3043
Other providers in Pass Christian, MS
- Julie M Forrest
- Lori Fowler
- Morgan Lynn Funderburk
- Brenda Gail Gilman
- Golden Hearts Homecare Services LLC
- Gulf Coast Breastfeeding Center LLC
- Gulf Coast Health Educators
- Rita M. Hall
- Hancock Medical Center
- Hancock Medical Center
All providers in Pass Christian, MS · Behavior Analyst in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.