Individual provider Active NPI

Katlyn Bushey

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1710339171
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4727 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-5326
Phone
(407) 978-6085
Fax
(321) 445-9760
NPI assigned
Jul 11, 2016
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

4727 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-5326

Mailing address

505 Cypress Ave
Sanford, FL 32771-1956

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
Camen Behavioral Services, LLC Behavior Analyst CurrentSince Jan 1, 2020 Accepting new patients
Camen Behavioral Services, LLC Behavior Analyst PastSince Apr 6, 2025 Accepting new patients

Locations

148 Wilshire Blvd
Casselberry, FL 32707
Phone (407) 440-0500

4670 Cecile Dr
Kissimmee, FL 34746

4727 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746
Phone (407) 572-1377

5959 Lk Ellenor Dr
Orlando, FL 32809
Phone (407) 347-4958

Organizations & group practices 2

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1710339171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CYPRESS AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 W IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347465326",
            "telephone_number": "407-978-6085",
            "fax_number": "321-445-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHEY",
        "first_name": "KATLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.