Kayleen Patricia Staats, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-43879 Issued in OR

Practice address

2421 NE Doctors Dr
Bend, OR 97701-7111

Phone

(541) 224-6987

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1992275580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 SW 35TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977567319",
            "telephone_number": "509-429-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 NE DOCTORS DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017111",
            "telephone_number": "541-224-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAATS",
        "first_name": "KAYLEEN",
        "middle_name": "PATRICIA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "10209953",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "1-20-43879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Charles Health Systems
• St. Charles Medical Center
• Bradley Alan St. Clair, MD
• Julie Anne St. Clair, LPC
• Deanna M St. Germain, D.O.
• Erica Marie Staehle, D.C.
• Melinda Mrachek Staehling
• Sara Theresa Stafford, PA-S
• Sarah Stafford, PT, DPT
• Richard A. Stagliano, MD

• Behavior Analyst in Bend, OR
• Providers in Bend, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.