Individual provider Active NPI

Kayla Marie Callahan, BCBA

  • Behavior Analyst
  • Portsmouth, NH
National Provider Identifier
1841796877
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2210 Issued in MA
Practice address
1950 Lafayette Rd
Portsmouth, NH 03801-8663
Phone
(888) 754-0398
Fax
(954) 982-6491
NPI assigned
Mar 30, 2018
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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 2210 MA Primary

Addresses

Primary practice location

1950 Lafayette Rd
Portsmouth, NH 03801-8663

Mailing address

6416 NW 5TH Way
Fort Lauderdale, FL 33309-6112
Phone (888) 754-0398

Other practice location 1

470 Pine Street
Manchester, NH 03104
Phone (603) 831-3091

Other practice location 2

607 North Avenue, Door 11
Second Floor
Wakefield, MA 01880
Phone (866) 926-4345

Other practice location 3

340 Granite St Fl 2
Manchester, NH 03102-4000
Phone (603) 792-0074

Other names 1

  • Kayla Marie Ambeliotis Former name

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
2210MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Vocational Development Group, LLC Behavior Analyst PastSince Apr 17, 2020 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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1841796877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 NW 5TH WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096112",
            "telephone_number": "888-754-0398",
            "fax_number": "954-982-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LAFAYETTE RD",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018663",
            "telephone_number": "888-754-0398",
            "fax_number": "954-982-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Pine Street",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "03104",
            "country_code": "US",
            "telephone_number": "603-831-3091",
            "fax_number": "603-410-1104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 North Avenue, Door 11",
            "address_2": "Second Floor",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "MA",
            "postal_code": "01880",
            "country_code": "US",
            "telephone_number": "866-926-4345",
            "fax_number": "781-557-5012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Granite St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031024000",
            "country_code": "US",
            "telephone_number": "603-792-0074",
            "fax_number": "603-622-8183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "AMBELIOTIS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.