Kaylyn Nicole Cluckey, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-192945 Issued in VA

Practice address

10468 Investors PL Ste B
Spotsylvania, VA 22553-1749

Phone

(757) 384-3248

Fax

(540) 301-8315

NPI assigned

Nov 15, 2021

Last updated

Nov 15, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Driven Behavioral Support LLC

  • Behavior Analyst
  • Spotsylvania, VA
  • NPI 1831732486
  NPD

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1952067845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10468 INVESTORS PL STE B",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531749",
            "telephone_number": "757-384-3248",
            "fax_number": "540-301-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10468 INVESTORS PL STE B",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531749",
            "telephone_number": "757-384-3248",
            "fax_number": "540-301-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUCKEY",
        "first_name": "KAYLYN",
        "middle_name": "NICOLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-21-192945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Carwin, M.A. CCC/SLP
• Cedar Grace Home Care LLC
• Sharon Chaudhry, M.S. SLP CCC-SLP
• Jeffrey Lee Chinault
• David Michael Clark, DDS
• Kennedy Coates
• Daryl Banknieder Coen, PT
• Nicole Cohen, RN
• John Herbert Coker Jr., DMD
• Latroy J Coleman, LPC

• Behavior Technician in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.