Active NPI
Kimberly Lane, RBT
- Behavior Technician
- Rogers, AR
National Provider Identifier
1932019825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3605 W Southern Hills Blvd Ste 300
Rogers, AR 72758-8265 - Phone
- (479) 967-2322
- NPI assigned
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3605 W Southern Hills Blvd Ste 300
Rogers, AR 72758-8265
Mailing address
920 University Dr
Russellville, AR 72801-4303
Phone (479) 967-2322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1932019825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 UNIVERSITY DR",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728014303",
"telephone_number": "479-967-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 W SOUTHERN HILLS BLVD STE 300",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588265",
"telephone_number": "479-967-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "KIMBERLY",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.