Kayla Shafer, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

275862 Issued in KY

Practice address

402 W Lincoln Trail Blvd Ste C
Radcliff, KY 40160-2011

Phone

(270) 883-5547

NPI assigned

Dec 26, 2017

Last updated

Feb 22, 2022By 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 2

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.

• Marin Autism Interventions LLC

  • Behavior Analyst
  • Webster, KY
  • NPI 1912592130
  NPD (past)
• Marin Autism Interventions, LLC.

  • Behavior Analyst
  • Webster, KY
  • NPI 1306394291
  NPD (past)

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1881100014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 EMMANUEL WAY LN",
            "city": "WEBSTER",
            "state": "KY",
            "postal_code": "401765037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W LINCOLN TRAIL BLVD STE C",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602011",
            "telephone_number": "270-883-5547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Emmanuel Way Ln",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "KY",
            "postal_code": "401765037",
            "country_code": "US",
            "telephone_number": "310-560-9270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Collard Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Hardinsburg",
            "state": "KY",
            "postal_code": "401435800",
            "country_code": "US",
            "telephone_number": "270-883-5547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "KAYLA",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "KY",
            "license": "275862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Senesi, LCSW
• Senior Health Services LLC
• Abbye Elizabeth Senn, PT
• Serenity Counseling, LLC
• Juxhin Shabani, PHARM.D
• Angela Reese Shelton, D.M.D.
• Brooke Elizabeth Shelton, DMD
• Stephen Shepherd, PT, DPT
• Shiloh City of Peace Foundation Inc (Guardianship Services of Kentucky)
• Dawnita Michell Shively, BCBA

• Assistant Behavior Analyst in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Assistant Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.