Active NPI
Kayla Mechelle Otis
- Behavior Analyst
- Lauderdale Lakes, FL
National Provider Identifier
1952183907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-68327
- Practice address
- 4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867 - Phone
- (516) 323-6593
- NPI assigned
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-23-68327 | Primary |
Addresses
Primary practice location
4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Mailing address
4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Phone (516) 323-6593
Other practice location 1
Metro Park 7, Street 7
Suite 204
Guaynabo, PR 00968
Phone (561) 323-6593
Other names 1
- Ms. Kayla Mechelle Crockett
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bumblebee ABA Inc | Behavior Analyst | Past | Accepting new patients |
| Endless Possibilities Therapy and Learning LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1154076248
-
- Behavior Analyst
- Titusville, FL
- NPI 1447717343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1952183907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 N STATE ROAD 7 STE 300",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195867",
"telephone_number": "516-323-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 N STATE ROAD 7 STE 300",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195867",
"telephone_number": "516-323-6593"
}
],
"practiceLocations": [
{
"address_1": "Metro Park 7, Street 7",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Guaynabo",
"state": "PR",
"postal_code": "00968",
"country_code": "US",
"telephone_number": "561-323-6593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTIS",
"first_name": "KAYLA",
"middle_name": "MECHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-23-68327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "CROCKETT",
"middle_name": "MECHELLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.