Individual provider Active NPI

Kyle Sears

  • Behavior Analyst
  • East Longmeadow, MA
National Provider Identifier
1932897501
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4044 Issued in MA
Practice address
55 Deer Park Dr
East Longmeadow, MA 01028-3198
Phone
(413) 525-1500
NPI assigned
May 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 4044 MA Primary

Addresses

Primary practice location

55 Deer Park Dr
East Longmeadow, MA 01028-3198

Mailing address

19 Daniels Rd
Mendon, MA 01756-1336

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

LicenseStateTypeSpecialty
4044MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Embracing Life'S Path LLC CurrentSince May 7, 2023 Accepting new patients
Embracing the Creative Child, LLC Behavior Analyst CurrentSince May 7, 2023 Accepting new patients

Locations

55 Deer Park Dr
East Longmeadow, MA 01028
Phone (413) 525-1500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1932897501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DANIELS RD",
            "city": "MENDON",
            "state": "MA",
            "postal_code": "017561336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DEER PARK DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283198",
            "telephone_number": "413-525-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "4044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.