Kayla Cosgrove

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB674412 Issued in WV

Practice address

325 6TH Ave
South Charleston, WV 25303-1231

Phone

(304) 720-3383

NPI assigned

Sep 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Solutions Positive Behavior Strategies

  • Specialist
  • South Charleston, WV
  • NPI 1649475914
  NPD
• Applied Behavior Learning Center

  • Behavior Analyst
  • South Charleston, WV
  • NPI 1720489339
  NPD (past)

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1730858242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 6TH AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031231",
            "telephone_number": "304-720-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 6TH AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031231",
            "telephone_number": "304-720-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WV",
            "license": "BACB674412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "F585990",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayden Mathias Cordle
• Tiffany Corhn
• Baylee Marie Annabelle Cornett
• Brandee Nadene Corns
• Jena Cory, M.A.
• Carly Erin Costello, MSW
• Kalyn Costello
• Osterman Cotes, M.D.
• Jessica Lynn Cottrell
• Megan Cottrell

• Behavior Technician in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Behavior Technician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.