Kaitlyn Mae Banks, B.S HUMAN SERVICES

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

15 Mayfield Rd
Auburn, MA 01501-1116

Phone

(508) 335-2365

NPI assigned

Mar 18, 2019

Last updated

Mar 18, 2019By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1851850135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAYFIELD RD",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011116",
            "telephone_number": "508-335-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAYFIELD RD",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011116",
            "telephone_number": "508-335-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "KAITLYN",
        "middle_name": "MAE",
        "credential": "B.S HUMAN SERVICES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "U5281178604",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kaitlynbanks96@aim.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Receiving other emails",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 Mayfield Rd",
            "city": "Auburn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015011116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assistant Behavior Analyst in Auburn, MA
• Providers in Auburn, MA by specialty
• Assistant Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.