Kayla Lashay Mims

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-306399 Issued in GA

Practice address

150 N Crest Blvd
Macon, GA 31210-1845

Phone

(478) 845-7516

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 2024By the provider in NPPES

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

State licenses

Practice roles

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.

• Jaelyn Buchanan

  • Behavior Technician
  • Macon, GA
  • NPI 1134050842
  NPD (past)

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1831924380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N CREST BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101845",
            "telephone_number": "478-845-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N CREST BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101845",
            "telephone_number": "478-845-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "KAYLA",
        "middle_name": "LASHAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-23-306399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Mills
• Kelly Marie Mills
• Michael Vernon Mills, M.D
• Andriea L. Mimbs, NP-C
• Jeffrey Dover Mimbs, MD
• Schuyler Kathleen Mims, M.D.
• Tashanda Kasey Mims
• Ma Lourdes Blas Mina, MD
• Christopher Erin Minette, MD
• Mip Medical Management (Macon Medical Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.