Individual provider Active NPI

Kevin Kleinberg, BCBA, LBA

  • Behavior Analyst
  • Fort Lauderdale, FL
National Provider Identifier
1821508144
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA00115 Issued in RI
Practice address
16534 Segovia Cir S
Ft Lauderdale, FL 33331-4612
Phone
(305) 606-7005
NPI assigned
Oct 2, 2017
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA00115 RI Primary

Addresses

Primary practice location

16534 Segovia Cir S
Ft Lauderdale, FL 33331-4612

Mailing address

16534 Segovia Cir S
Ft Lauderdale, FL 33331-4612

Other practice location 1

5400 S University Dr Ste 502
Davie, FL 33328-5313
Phone (888) 754-0398

Other practice location 2

13650 NW 8th St Ste 109
Sunrise, FL 33325-6239
Phone (888) 754-0398

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

LicenseStateTypeSpecialty
LBA00115RIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Little Mountain Therapy LLC Behavior Analyst CurrentSince Apr 13, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1821508144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16534 SEGOVIA CIR S",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333314612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16534 SEGOVIA CIR S",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333314612",
            "telephone_number": "305-606-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 S University Dr Ste 502",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333285313",
            "country_code": "US",
            "telephone_number": "888-754-0398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13650 NW 8th St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333256239",
            "country_code": "US",
            "telephone_number": "888-754-0398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINBERG",
        "first_name": "KEVIN",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LBA00115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.