Kylie Densmore, M.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27487 Issued in MI

Practice address

3887 Okemos Rd Ste A1
Okemos, MI 48864-3663

Phone

(989) 400-0547

NPI assigned

Jun 22, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801278304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 GRIMES RD",
            "city": "DANSVILLE",
            "state": "MI",
            "postal_code": "488199641",
            "telephone_number": "989-400-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 OKEMOS RD STE A1",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643663",
            "telephone_number": "989-400-0547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41521 W 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751803",
            "country_code": "US",
            "telephone_number": "989-400-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENSMORE",
        "first_name": "KYLIE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-17-27487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Dendekker, CNP
• Erica Deneff, PT, DPT
• Tiffany Denison, MSW, LLMSW
• Patricia Dennis
• Ella Danielle Denslow
• Adriana Dent
• Megan Deraedt, LMSW
• Doug Derdowski, LMSW
• Faith Derouchie
• Will Deruyter

• Behavior Analyst in Okemos, MI
• Providers in Okemos, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.