Active NPI
Kristen Caldwell
- Behavior Analyst
- Melbourne, FL
National Provider Identifier
1932572252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-15-06365
- Practice address
- 305 East Dr
Suite L
Melbourne, FL 32904-1033 - Phone
- (321) 345-0861
- Fax
- (321) 765-6434
- NPI assigned
- Nov 9, 2015
- 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 Analyst | 103K00000X | RBT-15-06365 | FL | Primary |
Addresses
Primary practice location
305 East Dr
Suite L
Melbourne, FL 32904-1033
Mailing address
305 East Dr
Suite L
Melbourne, FL 32904-1033
Phone (321) 345-0861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-15-06365 | Other | FL | RBT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-15-06365 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1932572252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 EAST DR",
"address_2": "SUITE L",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329041033",
"telephone_number": "321-345-0861",
"fax_number": "321-765-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 EAST DR",
"address_2": "SUITE L",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329041033",
"telephone_number": "321-345-0861",
"fax_number": "321-765-6434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "RBT-15-06365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-15-06365",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.