Kaitlyn Michelle Dykes

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2022032539 Issued in MO

Practice address

14733 Clayton Rd
Ballwin, MO 63011-2660

Phone

(636) 248-7841

Fax

(314) 778-9286

NPI assigned

Nov 27, 2017

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1790299865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 WILLOW BEND DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14733 CLAYTON RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112660",
            "telephone_number": "636-248-7841",
            "fax_number": "314-778-9286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Cityplace Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631417096",
            "country_code": "US",
            "telephone_number": "314-626-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYKES",
        "first_name": "KAITLYN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2022032539",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Moffatt Drexelius
• Jeffrey Drissell, D.D.S.
• Alexander J Dubois, PHARMD
• Aaron Dugan, DPT
• Ravi Dundoo
• Dorsey William Dysart, MD
• Virginia R Eades, PHD., LPC
• Katlyn Easler
• Easter Seals Midwest
• Easter Seals Midwest

• Behavior Analyst in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.