Kyle Dow

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-41954 Issued in CA

Practice address

1411 W 190TH St
Gardena, CA 90248-4324

Phone

(310) 719-3908

NPI assigned

Jun 12, 2019

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1770142754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E COLORADO BLVD STE 560",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W 190TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484324",
            "telephone_number": "310-719-3908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 E Colorado Blvd Ste 560",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911062380",
            "country_code": "US",
            "telephone_number": "855-295-3276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOW",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-41954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kiyoshi Dote, D.D.S.
• Danyelle Dotson, PHLEBOTOMIST, CNA
• Rotem Douer
• Mitchell Dougherty
• Brian M Dow, PH.D.
• Sabrinia Marie Downs
• Dr Priscilla Psy D Licensed Clinical Social Worker Corp
• Dr. Iris Liu and Associates Inc
• Dragonfly Mental Health Professional Clinical Counselors, Inc
• Chloe Lyn Drake, NONE

• Behavior Analyst in Gardena, CA
• Providers in Gardena, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.