Kyrstin Bly
Individual provider Active NPI Behavior Technician · Basehor, KS
NPI 1720977978 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1720977978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1106 N 155TH St Ste B
Basehor, KS 66007-7100 - Phone
- (913) 662-7071
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1106 N 155TH St Ste B
Basehor, KS 66007-7100
Mailing address
1106 N 155TH St Ste B
Basehor, KS 66007-7100
Phone (913) 662-7071
Other providers in Basehor, KS
- Monika Behavioral Bistodeau
- Cheyenne Bitts
- Virginia Black
- Jesse Blake
- Sophie Blevins
- Jessica Bodkins-Kite
- Shelby Boeken
- Sadie Boline
- Nicholas Boredelon
- Patrick King Boulanger
All providers in Basehor, KS · Behavior Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. 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.