Kyla Ravenell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB886034 Issued in GA

Practice address

3111 Gwin Oaks Dr
Lawrenceville, GA 30044-5112

Phone

(404) 914-5378

NPI assigned

Apr 10, 2023

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

Electronic endpoints 1

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": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1780379297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 STONEBRIDGE PARK CIR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300589049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 GWIN OAKS DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445112",
            "telephone_number": "404-914-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVENELL",
        "first_name": "KYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "BACB886034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://login.centralreach.com/",
            "affiliation": "N",
            "endpointDescription": "This is where employees will have access to your clients, communicate with your colleagues, and view their timesheets.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Identifies the content that is supported by the endpoint",
            "address_1": "822 Stonebridge Park Cir",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300589049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rapid Results Laboratories 2 LLC
• Lois Jean Long Rapisardi, CNM
• Regina Egleton Rashed, DNP, APRN, PMHNP-BC
• Andrea Leahna Ratowsky, OTR/L
• Rozee Rattani
• Sherri Hayes Rawsthorn, L.C.S.W.
• Kelle Chandler Ray, PH.D.
• Kruti Ray
• Mary Jo Ray
• Ramona Ray, M.A., MHP

• Behavior Technician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.