Kylie Ross, MSED LBS BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-58270

Practice address

630 Fitzwatertown Rd Ste A2
Willow Grove, PA 19090-1928

Phone

(877) 933-9932

NPI assigned

Nov 2, 2019

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 identifiers 1

Other names 1

• Kylie Brofman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• First Children Learning Services, LLC

  • Community/Behavioral Health Agency
  • Cherry Hill, NJ
  • NPI 1174803126
  NPD (past)

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1689218612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FITZWATERTOWN RD STE A2",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901928",
            "telephone_number": "877-933-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FITZWATERTOWN RD STE A2",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901928",
            "telephone_number": "877-933-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KYLIE",
        "credential": "MSED LBS BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-02",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "1-21-12446",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-22-58270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCBA",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "BROFMAN",
            "credential": "MSED LBS BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Belinda D. Rosario
• Anna Louise Rose, CRNP
• Laura Rose, MS, CCC-SLP
• Elissa Rosenberg
• Andrea B Rosenthal, LSW
• Gretchen Olga Roth, O.T.R./L C.H.T
• Maureen Cholewiak Royds, DPT
• Allison Hendrix Rubin, MSOT, OTR/L, BCPR
• Jimmy Joseph Ruiz, MD
• Stephanie Lynn Rushie

• Behavior Analyst in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.