Miranda Kyles, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12147693 Issued in FL

Practice address

555 NE 8TH St Apt 1201
Fort Lauderdale, FL 33304-2994

Phone

(321) 848-4924

NPI assigned

Jul 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reveresco ABA Therapy, LLC

  • Behavior Analyst
  • Pompano Beach, FL
  • NPI 1790022184
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1952887697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NE 8TH ST APT 1201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042994",
            "telephone_number": "321-848-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 NE 8TH ST APT 1201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042994",
            "telephone_number": "321-848-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLES",
        "first_name": "MIRANDA",
        "name_prefix": "Miss",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12147693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yael Eva Kushner, PA-C
• Micah Kust
• Natalie Kusturic, LMFT
• Carson Kutuchief, PT, DPT
• Michelle Kuznia, D.D.S.
• Lori Kyriacou, LCSW
• L & B Laboratories, Inc.
• L. Abratt, DO, PA
• Audrey La Noce, D.O.
• John Albert La Pointe, PHD

• Behavior Analyst in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.