Kaylika Bre'Nay Pulphus

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1380602 Issued in MS

Practice address

359 Towne Center Blvd Ste 601
Ridgeland, MS 39157-4862

Phone

(769) 225-0045

NPI assigned

Jul 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1720979545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 LAKE HARBOUR DR APT 1161",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574309",
            "telephone_number": "662-308-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 TOWNE CENTER BLVD STE 601",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574862",
            "telephone_number": "769-225-0045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "359 Towne Center Blvd Ste 601",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391574862",
            "country_code": "US",
            "telephone_number": "769-225-0045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULPHUS",
        "first_name": "KAYLIKA",
        "middle_name": "BRE'NAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MS",
            "license": "BACB1380602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Behavior Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.