Kylie Mitchell – Behavior Technician

Key facts

NPI: 1952197147
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Technician 106S00000X
License: RBT-24-361292 (IN)
Practice address: 80 Commercial Rd
Huntington, IN 46750-8805
Phone: (260) 459-6040
NPI assigned: Apr 16, 2025
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Children'S Autism Center, Inc Developmental Disabilities Clinic/Center · Fort Wayne, IN · NPI 1215105663

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
RBT-24-361292	IN	MD	Behavior Technician

Practice roles

Organization	Specialty	Status	New patients
Children'S Autism Center, Inc		Current since Apr 20, 2025	Accepting new patients

Locations

5601 Coventry Ln
Fort Wayne, IN 46804
Phone (260) 755-1438

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X	RBT-24-361292	IN	Yes

Addresses

Primary practice location

80 Commercial Rd
Huntington, IN 46750-8805

Mailing address

5601 Coventry LN
Fort Wayne, IN 46804-7145

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 16, 2025.

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1952197147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 COVENTRY LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 COMMERCIAL RD",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467508805",
            "telephone_number": "260-459-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-24-361292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, IN

All providers in Huntington, IN · Behavior Technician in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.