Kaylin Renee Jennings-Knight

Individual provider Active NPI Behavior Technician · Stafford, VA

NPI 1821878232 · NPPES record last updated Oct 3, 2023

Key facts

NPI
1821878232
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
35 Walpole St Ste 207
Stafford, VA 22554-6546
Phone
(540) 383-7133
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Autism Services, LLC Current
since May 18, 2025
Accepting new patients

Locations

35 Walpole St
Ste 207
Stafford, VA 22554
Phone (540) 383-7133

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

35 Walpole St Ste 207
Stafford, VA 22554-6546

Mailing address

35 Walpole St Ste 207
Stafford, VA 22554-6546
Phone (540) 383-7133

Other providers in Stafford, VA

All providers in Stafford, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.