Active NPI
Kyle Miller Blount, BEHAVIOR ASSISTAT
- Behavior Technician
- Orlando, FL
National Provider Identifier
1760992499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-72737
- Practice address
- 5695 Century 21 Blvd
Orlando, FL 32807-2215 - Phone
- (727) 421-7793
- NPI assigned
- Oct 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-72737 | FL | Primary |
Addresses
Primary practice location
5695 Century 21 Blvd
Orlando, FL 32807-2215
Mailing address
500 E Colonial Dr
Orlando, FL 32803-4504
Phone (407) 218-4340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019676400 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-72737 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1760992499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034504",
"telephone_number": "407-218-4340",
"fax_number": "407-218-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5695 CENTURY 21 BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328072215",
"telephone_number": "727-421-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOUNT",
"first_name": "KYLE",
"middle_name": "MILLER",
"credential": "BEHAVIOR ASSISTAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-09",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-72737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019676400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.