Kiandra Mercedes Pfaffl, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-99864 Issued in CO

Practice address

2001 Hoyt St
Lakewood, CO 80215-1639

Phone

(920) 857-4641

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kiandra M Pfaffl Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1871183012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 GATEHOUSE CIR N APT 103",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809042908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HOYT ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151639",
            "telephone_number": "920-857-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFFL",
        "first_name": "KIANDRA",
        "middle_name": "MERCEDES",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-19-99864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kpfaffl@fireflyautism.org",
            "affiliation": "N",
            "address_1": "2001 Hoyt St",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802151639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIANDRA",
            "last_name": "PFAFFL",
            "middle_name": "M",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Zoya Natasha Petrovska
• Bryan Michael Petti, D.O.
• Christopher Ryan Pettis, MD
• Jillian Pezzino, LPCC
• Pfa Counseling & Assessment
• Joshua James Pfeiffer
• Alyssa Rose Pfluger
• Anhtuan Pham, MD, MPH, MHA, CAC II
• Loan Thu Pham, MD
• Suzie Pham

• Behavior Technician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.